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<br /> DEPT.OF�1'ATE ° .
<br /> �'���i���� �f,���zao�vte�$r�e�t ai Execution uf.an �nstru�me�rt � `� ,
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<br /> � . �a�pub].�c of �1se Phil.ippin��------
<br /> �.. _• (Countq) ,
<br /> Pro�inCe af Cebu _ —--—
<br /> (T,ounty andto�other poiUla!dtvi�ion)
<br /> CitY of Cebu SS: '
<br /> Coas�Ce�o'�d��e�tY��Ceildszs�es of
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<br /> (Name oi[orel�n a�irx,�tficef , �
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<br /> �L Cebu. Philip�Odaes • '
<br /> ofthei�nitedStatesvfAmeracaat__------=- -----------------------
<br /> duly commissioned and qualified,do hereby certify tha�on this__?3rd___________
<br /> day of--9,,,gust.14��______.before me perso�tully appeare�-_-----------_
<br /> (DA7Ej
<br /> ** �ax;en Ezaeet �r�n�,'�*__�...__----------------
<br /> �o me personally known,and known to me to Ge tlie individual--clescribed in, whase
<br /> name__�s__subscribed to,and wl:o executed rhe annexed instrument,and being
<br /> . Informed 8y me of the conten�s of said irrstrument___h�...---duly acknowledged to me
<br /> that __he--executed[he same freely and voluntarily for tlte
<br /> u8e,�and purposes�herein �
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<br /> mentioned. � �" �'
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<br /> NUTB.—VYf►erever practicabie nll signatures to e document ahould be included in orte c�rtificate. ��;`
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