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SS Number: 04-1614138-8
Name of Borrower: DAISY ILAO RUBIO
ER ID Number: 04-0979364-6
ER Name: EPSON PRECISION (PHILS) INC
ER Address: SEPZ LIMA TECHNOLOGY CENTER LIPA CITY BATANGAS
This is a system-generated Disclosure Statement on Loan/Credit Transaction and does not require a signature from SSS.