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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THIS PRESENTS:

I, MA. NENETH C CALAPATI, of legal age, single, Filipino, and with residence and postal
address at Balagbag St., Brgy. Aya, Talisay, Batangas, do hereby PORTIA B VARGAS, my co-
worker at the Bureau of Fire Protection MIMAROPA Regional Office, likewise of legal age,
Filipino, married, and with residence address at Blk 21 Lot 63 Laguna Buenavista Exec. Homes
Brgy. Barandal Calamba City, Laguna as my true and legal representative to act for and in my
name and stead to perform the following:

 Process and claim on my behalf my Certification of Vaccine for COVID-19 to be issued by


BUREAU OF QUARANTINE – BATANGAS STATION on Wednesday, 09 November 2022.

HEREBY GIVING AND GRANTING unto my representative full power and authority to
execute and perform every act necessary to render effective the special power granted in this
instrument, as though I myself, have so performed it, and HEREBY APPROVING and RATIFYING
ALL that she may do by virtue thereof.

IN WITNESS HEREOF, I have hereunto set my hand this 8th day of November 2022 at Mabini
Blvd., Zone I, Pinamalayan, Oriental Mindoro.

____MA. NENETH C CALAPATI_____


Affiant

______________________ _____________________
Witness Witness
Signature over printed name Signature over
printed name

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