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Republic of the Philippines

Province of La Union
Municipality of BAUANG
OFFICE OF THE MUNICIPAL AGRICULTURIST
A
NO. NAME ADDRESS / AGENCY T CONTACT NO. SIGNATURE

1 T
2
E
3
4
N
5 D
6 A
7 N
8
C
9
10
E
11
12
13
14
15
16
17
18
19
20
MAgO.F.003, Rev 0

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