Deed Of Donation Page 30
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39Director
ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES
) S.S.
QUEZON CITY
)
BEFORE ME, this ____________________, personally appeared before me:
Signatory
Passport No.
Place of Issue
Date of Issue
Philippine Consulate
November
RAY ANTHONY ROXAS-CHUA III
ZZ114726
General, San Francisco,
16, 2004
California
MYRNA LIGAS
Who are known to me to be the same officials who executed the foregoing instrument
and they both acknowledge to me that the same is their free and voluntary act and deed
that of the government agency and institution they represent herein.
This instrument consisting of three (3) pages including this page on which this
acknowledgment is written and signed by the parties and their instrumental witnesses
on the left hand margin of each page thereof and at bottom of same instrument on page
2, refers to a Deed of Donation executed for the purpose(s) therein set forth.
WITNESS MY SIGNATURE AND SEAL on the date and place first above written.
NOTARY PUBLIC
Doc. No. : ________
Page No. : ________
Book No. : ________
Series No. : ________
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