CITY OF MEYCAUAYAN

DIALYSIS AND DIAGNOSTIC CENTER

CERTIFICATE OF APPEARANCE

This is to certify that ________________________________________________________ of

___________________________________________________________________________
appeared in this Office on ______________________ to transact official business as follows:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

________________________ __________________ _________________

Signature over printed name Position Date

CITY OF MEYCAUAYAN
DIALYSIS AND DIAGNOSTIC CENTER

CERTIFICATE OF APPEARANCE

This is to certify that ________________________________________________________ of

___________________________________________________________________________
appeared in this Office on ______________________ to transact official business as follows:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

________________________ __________________ _________________

Signature over printed name Position Date