Por mul ar i ongPanghukuma manBl g.143 PageNo.__ __BookNo.__ __ of_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ,Phi l i ppi nes,f ort heyear
Re hi s t r oNo t a r y a lniG.
ng_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Pi l i pi nas ,pa r as at a o n
Underappoi nt mentmadeont he_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Sano mbr ami e nt onag i na wano o ng_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ENTRY TI TLE/DESCRI PTI ON NUMBER OF I NSTRUME MENT
NAME ME & ADDRESSES O PARTI ES
andex pi r i ngDec emb mber31,201_ _ namag t at a po ss aDi s y e mbr e31,
NAME ME & ADDRESSES OF WI TNESSES
COMP MPETENT EVI DENCE OFI DEN ENTI TY
DATE & TI ME OF NOT OTARI RI ZATI ON
TYPE OF NOT OTARI AL ACT
FEES& OTHER PLACE OF O. R.NO. O. NOTARI RI ZATI ON OTHE HER THAN OFFI CE OFNOTARY PUBLI CAND ND/OR OR REMARKS
e x e c ut e d i s i na g a wa HEREBYCERT RTI FYt hatduri ngt hepas twee k__ __ __ i nst r ume mentwer e Pi nat unay annanoo ngnakar aangl i ngg o
_ _ _ _ __ angmg akas ul at an
swor nt o
bef or eme
pi nanump mpaan sahar apa m ko
t i na ng g a p
DATE _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Pe t s a Whe t he rac kno wl e dg e me nt ,oat h,j ur at ,s i g nat ur ewi t ne s s i ngo rc o pyc e r t i fic at i on
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ No t ar yPubl i c No t ar y oPubl i ko
