REPUBLIC OF THE PHILIPPINES )

PROVINCE OF ______________ )
MUNICIPALITY OF ______________)
x……………………………………….x

BEFORE ME, a Notary Public, on this ____ day of January 2019 personally appeared the LESSOR and
LESSEE, known to me to be the same persons who executed the foregoing instrument and that they acknowledge
the same to be their free, voluntary act and deed.

This instrument consist of three ( 3 ) pages including this page where the acknowledgment is written and
every page thereof is signed by the party and their witnesses.

WITNESS MY HAND AND NOTARIAL SEAL.