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FILIBUSTERISMO T. DELGADO
Affiant
Drivers License No._____________
Expiry Date: ___________________
Place of Issue: __________________
SIGNED IN THE PRESENCE OF
ROSALENDA D. DELGADO
BERNIE C. YAP
AC KN OWLED GMENT
REPUBLIC OF THE PHILIPPINES)
C I T Y O F CAGAYAN DE ORO) S.S.
BEFORE ME, a Notary Public, for and in ________________, Philippines, this ___day
of _______________, personally appeared the above parties with their Competent Evidence of
Identities as shown below their respective names, known to me and to me known to be the same
persons who executed this Release Waiver and Quitclaim, signed by the parties and their
instrumental witnesses and acknowledged to me that the same is their own free will, voluntary
act and deed.
WITNESS MY HAND AND NOTARIAL SEAL on the date, year and place above
written.
Doc. No. ________
Page No. ________
Book No. _______
Series of 2016