Acknowledgement of Debt

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ACKNOWLEDGEMENT OF DEBT

KNOW ALL MEN BY THESE PRESENTS:

DENTAL WORKS SPECIALIST, duly represented by Dr. KAREEN T.


CHUA, Filipino, of legal age, married and with postal address at
___________________________________________________________ and Dr.
MITZI MARIE G. ALMIRANTE, Filipino, of legal age, married, and with postal
address at ___________________________________________________________,

WITNESSETH:

That DENTAL WORKS SPECIALIST is indebted in the sum of EIGHTY


THOUSAND PESOS (P80,000.00), Philippine Currency, to IRENE ABELLANA
also a Filipino, of legal age, single and currently residing at
______________________________________________________.

That DENTAL WORKS SPECIALIST shall pay the sum of EIGHTY


THOUSAND PESOS (P80,000.00) unto the said IRENE ABELLANA within a
period of THREE (3) YEARS from the execution hereof. During this three (3) year
period, the amount of TWO THOUSAND TWO HUNDRED TWENTY THREE
PESOS (P2,223.00) will be paid to the IRENE ABELLANA on or before the 30th day
of the month reckoned from the time of the execution of this instrument.

IN WITNESS WHEREOF, DENTAL WORKS SPECIALIST, duly


represented by Dr. KAREEN T. CHUA and Dr. MITZI MARIE G. ALMIRANTE,
hereto affixed their signature this _____ day of ____________, 2008 at
___________________________. at___________________________, Philippines.

Dr. KAREEN T. CHUA Dr. MITZI MARIE G. ALMIRANTE


Authorized Representative Authorized Representative
of Dental Works Specialist of Dental Works Specialist

SIGNED IN THE PRESENCE OF:

1)___________________________ 2)___________________________

NOTARIAL ACKNOWLEDGMENT

Republic of the Philippines)


In the City of ________)SS

BEFORE ME, this _____day of __________, 2008, at the City of


_______________, Philippines, personally appeared:

NAME CTC NO. ISSUED AT ISSUED ON

KAREEN T. CHUA _________________________________

MITZI MARIE G. ALMIRANTE _________________________________


known to me and to me known as the Parties in this instrument, and they
acknowledged to me that the same is their own free and voluntary act and deed. They
exhibited to me their respective Community Tax Certificate, and showed me their
respective PRC Licenses to further prove their identity.

This instrument is an ACKNOWLEDGEMENT OF DEBT, consisting of


_____ PAGES only, with the Parties and their instrumental witnesses signing on the
Left Hand Margin of Pages _______ and on the bottom part of Page _____ hereof.
Each and every page bears my Notarial Dry Seal.

I HEREBY CERTIFY that all of the Parties are Filipino Citizens.

WITNESS MY HAND AND SEAL, on the day, date, and place first above-
written.

DOC. NO. _____;


PAGE NO. _____;
BOOK NO. _____;
SERIES OF 2008.

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