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REPUBLIC OF THE PHILIPPINES )

PROVINCE OF NEGROS ORIENTAL )


CITY OF DUMAGUETE ) S.S.

ACKNOWLEDGMENT

BEFORE ME, this 27th day of January, 2018 in the City of Dumaguete, Province
of Negros Oriental, Philippines, personally appeared affiant CLARENCE LOUIS
DIZON, with Community Tax Certificate No. CTC No. CCI2018 45621327,
issued on 15 January 2018 at Dumaguete City, Negros Oriental, and Tax
Identification No. 000-021-852-619, known to me to be the same person who
executed the foregoing instrument, and he acknowledged to me that the same is his
free act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial


seal, the day, year, and place above written.

ATTY. FRANCES ANN A. TEVES


Notary Public for the City of Dumaguete
Piapi, Dumaguete City, Negros Oriental
Appointment No. 06190 until December, 2018
Roll of Attorney No. 110690
PTR No. 753951;
IBP No. 963852;
Series No. of Commission 2018

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2018

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