1

May 21, 2014

To the Pharmacist:

I authorize the bearer of this letter to
purchase my medicine using my senior
citizen discount privileges.


FELISBERTA S. DALISAY















To the Pharmacist:

I authorize the bearer of this letter to
purchase my medicine using my senior
citizen discount privileges.


FELISBERTA S. DALISAY














To the Pharmacist:

I authorize the bearer of this letter to
purchase my medicine using my senior
citizen discount privileges.


FELISBERTA S. DALISAY















To the Pharmacist:

I authorize the bearer of this letter to
purchase my medicine using my senior
citizen discount privileges.


FELISBERTA S. DALISAY