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IN WITNESS WHEREOF, the parties hereto have signed this instrument this
________________ at Panabo City, Davao del Norte.
Conforme:
AISA D. GORTIA
Daughter
ACKNOWLEDGEMENT
BEFORE ME, a Notary Public for and in the City of Panabo, Davao del Norte, Philippines, this
___________________, personally appeared the above-named persons with their respective valid ID written below
their names, all known to me to be the same persons who executed and signed the foregoing instrument and
acknowledged to me that the same is their free and voluntary act and deed.
WITNESS MY HAND SEAL at the place and on the date first herein above written.