LGU- Municipality of Bantayan ,Cebu Reference Number:

Name of Project: Supply and delivery of

Standard Form Number:SF GOOD-35 Drugs, Medicine and Medical Supply
Revised on: Location of Project: Municipality of Bantayan Cebu

AUTHORITY OF SIGNATORY

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, MEL CHARM MONTE ELSAYED, Registered owner and manager of SHELMO

PHARMACY, with business address at Poblacion, Samboan Cebu by virtue hereof, has made ,
constituted and appointed NELIA BATUSBATUSAN of Binaobao, Bantayan Cebu ,as my true and
lawful attorney, for it and its name, place, and stead, to do, execute and perform any and all acts
necessary and/ or represent _________SHELMO PHARMACY________ in the bidding of Supply &
Delivery of drugs, medicines and medical supply in the Municipality of Bantayan Cebu , as fully and
effectively as I might do if personally present with full power of substitution and revocation and hereby
confirming all that said representative shall lawfully do or cause to be done by virtue hereof.

THIS authority takes effect immediately and shall expire on the ______ of _______________.

IN WITNESS WHEREOF, I have hereunto set my hand on

___________________________ at Poblacion Samboan Cebu, Philippines.

Acknowledgd by:

NELIA BATUSBATUSAN MEL CHARM MONTE ELSAYED,Rph

Attorney-In-Fact (in her capacity as the registered single proprietor)
Affiant

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )

Province of Bantayan Cebu ) S.S.
Municipality of Bantayan )
X-------------------------------------------/

BEFORE ME, a Notary Public for and in the Municipality of Bantayan Cebu, Philippines, on
____________________________________, personally appeared:

Name Identification Card Issued on Valid Until

Mel Charm Monte Elsayed PRC CARD # 0052150 09/27/2005 11/30/2021

Known to me and known to be the same person who executed the foregoing instrument consisting
of ONE (1) page and acknowledged before me that the same is her free and voluntary act and deed.

WITNESS MY HAND AND NOTARIAL SEAL, at the place and on the date first above
written.