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IN WITNESS WHEREOF , WE HAVE HEREUNTO SET OUR HANDS THIS ____ DAY OF
_______________ 20__, AT CITY OF CALOOCAN METRO MANILA.
_______________________________
MEL MATIAS
__________________________________
CONSTANTINO D. DRIO
___________________________________
ID Number
MEL MATIAS
PRC ID NO. 0210
CONSTANTINO D. DRIO
PRC ID 089024
Manila
Date/Place Issued
Jan 09, 2015 / City of Manila
November 9, 2012 /City of
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 and place first above written.
Notary Public
Doc. No.______;
Page No. ______;
Book No.______;
Series of 20___.