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DATE: __________________________________ Roll of Attorney No.

82714
NOTARIAL REGISTER - ATTY. RIZAIDA M. DIESTO
Second Floor, JAC Building, J.P. Laurel Avenue Bajada, Davao City Page Number
Commission No. 387-2015 Expiring December 31, 2017

Number Type of Notarial Act Description of Evidence of


Names & Addresses of Principal Parties Signatures Names & Addresses of Witnesses Signatures Fees Charged
Date/Time (Check appropriate box) Instrument Identity
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Affirmation or oath { }
Jurat { }
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I HEREBY CERTIFY that during the past week (________) instrument/s were executed before me.

(________) (sworn to)

(________) (acknowledged)
RIZAIDA M. DIESTO
Notary Public
Commission No. 387-2015 Expiry: December 31, 2017
Second Floor, JAC Building, J.P. Laurel Avenue Bajada, Davao City
PTR No. 080324 01.06.14 - Davao City
IBP No. 631810 01.06.14 - Davao City
Roll of Attorney No. 82714

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