REPUBLIC OF THE PHILIPPINES )

CITY OF MAKATI ) S.S.

SUBSCRIBED AND SWORN TO BEFORE ME in the City of Makati, Philippines,

this 16 day of November 2020 by ANGELICA MARIE LITE, who personally came and
th

who has satisfactorily proven to me her identity through her Philippine Passport with
number: P3869434A and known to me as the same person who personally signed the
foregoing instrument before me and avowed under penalty of law to the whole truth of
the contents of the attached instruments, particularly the in-patient account of Mr.
Pedro L. Lite Jr. as of November 13, 2020 and his corresponding Clinical Abstract.

Doc. No. ______; NOTARY PUBLIC

Page No. ______;
Book No. ______;
Series of 2020.