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WITNESSETH;
IN WITNESS WHEREOF, the parties hereunto affixes their signatures on this ________
day of _____________________ at __________________, Philippines.
_____________________________
Vendor
UMID I.D. No. CRN – :__________
Issued at S.S.S., Pasay City
___________________________ __________________________
ACKNOWLEDGEMENT
BEFORE ME, personally appeared the parties known to me to be the same persons who
executed the foregoing document consisting of two pages signed by the parties and by their
witnesses at the first page and at the left hand margin of second page and acknowledge to me that
the same is their free act and voluntary deed. The parties exhibited to me their respective
identification cards, which are all written below their signatures above.
WITNESS MY HAND AND NOTARIAL SEAL on the date and place above given.