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I, Geneveive A. Mengullo, single, of legal age, with residence and postal address at 129 Avelino St. UEP,
Catarman N. Samar do hereby APPOINT Lyra Fay C. Espina single, likewise of legal age, with postal
address at Brgy. Molave, Catarman N. Samar as my true and legal representative to act for and in my
name and stead and to perform the following acts:
HEREBY GRANTING unto my representative full power and authority to execute and perform every act
necessary, as though I have so performed it, and HEREBY APPROVING ALL that she may do by virtue
hereof with full right of substitution of his person and revocation of this instrument.
IN WITNESS WHEREOF, WE HAVE HEREUNTO SET OUR HANDS THIS ___ day of ____________ 2020.
Known to me and to me known to be the same persons who executed the foregoing instrument and
acknowledged to me that the same is their free and voluntary act and deed. WITNESS MY HAND AND
SEAL, on the date above written.
Notary Public
Doc. No.______;
Book No.______;
Series of 20___.