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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 _____________________
Book No. VII UNTIL DECEMBER 31, 200_
Series of 2007 OFFICE: _____________________
ROLL NO. 00001
IBP Lifetime Roll No. 1234567 ; 01/07/07 ; ________
PTR NO 1234567 ; 01/07/07 ; ________
MCLE COMPLIANCE No. __________; July 7, 2007

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