known to me and to me known to be the same person who
executed the foregoing instrument, and acknowledged to me that the same is their free and voluntary act and deed, consisting only of two (2) pages, including this page in which the acknowledgment is written , duly signed by _________ and his instrumental witnessed on each and every page hereof.
WITNESS MY HAND AND SEAL this ____________ at
_________________, Cebu, Philippines.
Doc. No. ______; NOTARY PUBLIC
Page No. ______; Book No. ______; Series of ______;