Appendix E SBRM2012

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Appendix E

CERTIFICATION
To whom it may Concern: This is to certify that WE, the undersigned have organized to GROUP OF WORKER to supply: Mason and carpenter in the prosecution of: Repair and renovation of two setter toilets situated at Felipe F. Matbagon Memorial High School We further CERTIFY that this GROUP OF WORKERS will be represented by Edgar O. Alisna, Fuentes Road, Pajac, Lapu-lapu City, who is authorized to transact business and collect payments in connection thereto. IN WITNESS WHEREOF, we have hereunto affixed our signature this 7th day May 2012 in Lapu-lapu City, Philippines.
NAME OF WORKERS RES. CERT. NO. ISSUED ON ISSUED IN SIGNATURE

Edgar O. Alisna Randy Igot

01496768 01496796

5/04/12 05/07/12

LLC LLC

SUNSCRIBED AND SWORN to before this ______ day of ________________, _______, Affiant exhibited to me their corresponding Residence Certificate as shown opposite their name in ____________________, Philippines. ____________________________ ____________________________ DOC. NO _____________ BOOK NO. _____________ PAGE NO. _____________ SERIES NO._____________

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