I, TERESITA V. URBANO, of legal age, Filipino, married and
a resident of Purok Dama de Noche, Brgy. Maunlad, Puerto Princesa City, Palawan, Philippines, in my own free will, and for a valuable consideration, hereby declare and manifest:
1. That I am the mother of JEVIE V. URBANO, who was
employed with MITHRAS SECURITY AND INVESTIGATION, INC.;
2. That he voluntarily resigned from his employment
effective October 16, 2015;
3. That in consideration with his separation from his
former employment with MITHRAS SECURITY AND INVESTIGATION, INC., for valuable consideration in the amount of ____________________________, Philippine Currency, by these present, I hereby release, waive and discharge MITHRAS SECURITY AND INVESTIGATION, INC., its officers, directors, representatives or employees from any action for sums of money or other obligations arising from my sons previous employment with MITHRAS, INC., I for and in behalf of my son, acknowledge that I have received all amounts that are now or in the future may be due from MITHRAS, INC.;
4. That I admit that I have no cause of action whatsoever,
whether criminal, civil or administrative, against MITHRAS, INC., its officers, agents or representatives with respect to any matters relating to his former employment with MITHRAS, INC.
IN WITNESS WHEREOF, I have hereunto set my hand this
15 day of February 2016, at Puerto Princesa City, Palawan, th
Philippines.
TERESITA V. URBANO Attorney-In-Fact VID No. 5316-0096B-I2054TVU20000
BEFORE ME this 15th day of February, at Puerto Princesa City,
Palawan, Philippines, personally appeared TERESITA V. URBANO with her competent evidence of identity as shown below his name above, known to me to be the same person who executed the foregoing instrument, and she acknowledged to me that the same is her free act and voluntary deed.
This instrument, consisting of two (2) pages, including the
page whereon the acknowledgement is written, has been signed on the left margin of each and every page thereof by the party and her witnesses.
WITNESS MY HAND AND SEAL.
ATTY. EMILIA CONCEPCION D. SEVERINO
Notary Public for City of Puerto Princesa and Province of Palawan Until December 31, 2016 Roll No. 63949/April 27, 2015 PTR No. 6236609/January 4, 2016 IBP No. 959026/December 29, 2015 Doc. No.: ________ Page No.:________ Book No.:_______