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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS :

That I, ANDIOLINA M. ANDICO, of legal age, married, Filipino, and


currently a resident of Cubay North, Bugasong, Antique, do hereby name,
constitute and appoint Divina Gracia A. Mangoba, of legal age and with
residence address at Cubay North, Bugasong, Antique, to be my true and
lawful attorney-in-fact, for me and in my name, place and stead to do the
following acts and deed, to wit:

To claim in my behalf any due amounts or benefits as a senior


citizen before the Office of the Senior Citizen Affairs of Cubay North,
Bugasong, Antique and further to do and enter the following:

a.) The possibility of an amicable settlement of submission to


alternative modes of dispute resolution;
b.) The simplification of the issues;
c.) The necessity or desirability of amendments to the pleadings;
d.) The possibility of obtaining stipulations or admission of
facts and of documents to avoid unnecessary proof;
e.) The limitation of number of witnesses;
f.) The advisability or necessity of suspending the proceeding, and;
g.) such other matter as may aid in the prompt disposition of the
action.

IN WITNESS WHEREOF, I have hereunto set my hand on this ____ day


of _________ 2018 in _______________________.

_______________________________
ANDIOLINA M. ANDICO
ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)


City/ Municipality of ___________) S.S

BEFORE ME, this _________ day of __________________ at


___________________, personally appeared before me, ANDIOLINA M. ANDICO,
presenting her Senior Citizen ID 004636 issued by the Office of the Senior
Citizen Affairs of Bugasong on April 19, 2016, known to me to be the same
persons who executed the foregoing instrument and have acknowledged to me
to be their own free and voluntary act and deed.

This instrument consists of three (2) pages including this page wherein
this Acknowledgment is written and is signed by the parties and their
instrumental witnesses on each and every page thereof.

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

Doc. No. ____


Page No. ____
Book No. ____
Series 2018.

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