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Acknowledgment: Name Identification Card No. Number Date & Place of Issue
Acknowledgment: Name Identification Card No. Number Date & Place of Issue
Acknowledgment: Name Identification Card No. Number Date & Place of Issue
known to me to be the same person who executed the foregoing instrument and she acknowledged to me that the
same is her free and voluntary act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand this ______________ at Masbate City,
Philippines.