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ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )


PROVINCE OF LA UNION ) S.S.
MUNICIPALITY OF AGOO )

BEFORE ME, a Notary Public for and in the Province of ___________________,


on this ___ day of ___________________, 20__ personally appeared
______AFFIANT_1_________________ exhibiting to me his/her
______(Competent Evidence of Identity)______ issued by the
_________(Government Agency)______ on ________________ and set to
expire on _____________, and ____ AFFIANT_2____ exhibiting to me his/her
_____(Competent Evidence of Identity)______ issued by the
_________(Government Agency)______ on ________________ and set to
expire on ________________ as their competent evidence of identity bearing
their photograph and signatures, who are known to me and to me known to be
the same persons who executed the foregoing instrument and acknowledged to
me that the same is their own free act and voluntary act and deed.

This instrument, consisting of _______ (__) pages, including the page on which
this acknowledgment is written, has been signed on the left margin of each and
every page hereof by the concerned parties and their witnesses, and sealed with
my notarial seal.

WITNESS MY HAND AND SEAL, at the place and date above-written.

ATTY ______________________________________
Doc. No. 123 COMMISSION NO. ___________________________
Page No. 69 NOTARY PUBLIC for AGOO, LA UNION
Book No. VII UNTIL DECEMBER 31, 2007
Series of 2007 OFFICE: 9 Cases Blvd. Sta Barbara, Agoo La Union
ROLL NO. 00001
IBP Lifetime Roll No. 1234567 ; 01/07/07 ; LA UNION
PTR NO 1234567 ; 01/07/07 ; LA UNION
MCLE COMPLIANCE No. __________; July 7, 2007

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