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To withdraw, get and receive the amount of P5,000.00 pesos from the cash
bond I posted in behalf Elsie Basa and thereafter to sign for and in my name
and act in lieu of me for acts I should have performed if personally present;
_____________________________ __________________________________
Republic of the Philippines )
Province of Cagayan) S.S
Tuguegarao City)
Lorna Clemente
WITNESS MY HAND AND SEAL, on the date and place first above written.
NOTARY PUBLIC
Doc. No.______;
Page No. ______;
Book No.______;
Series of 20___.