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KNOW ALL MEN BY THESE PRESENTS:
I, ANITA GONZALES CHESLEY, of legal age, Filipino, and with address at Barangay Poblacion,
Candelaria, Zambales, do hereby appoint, name and constitute JAMES GONZALES CHESLEY with address at
Barangay Poblacion, Candelaria, Zambales, for me and in my name, place and stead, to do and perform the following
acts and things:
1. To apply before the appropriate government agency or office any benefits, allowance, incentive, privilege
in cash or in kind to which I am entitled as centenarian;
2. To collect, claim and keep the same in my trust and for my benefit as he may deem proper.
HEREBY GIVING AND GRANTING unto my said attorneyinfact full power and authority whatsoever
requisite or necessary or proper to be done, as fully to all intents and purpose as I might or could lawfully do if
personally present, and hereby ratifying and confirming all that my said attorneyinfact shall do or cause to be done
under and by these presents.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of July at Municipality of Iba,
Zambales, Philippines.
Special Power of Attorney accepted by:
JAMES GONZALES CHESLEY
ANITA GONZALES CHESLEY
AttorneyinFact
Principal
SIGNED IN THE PRESENCE OF:
_________________________________ _________________________________
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the Municipality of Iba, Province of Zambales, this 17th day of July 2018,
personally appeared the following:
known to me and by me known to be the same person who executed the foregoing instrument consisting of One (1)
Page, including the page on which the Acknowledgment is written, and signed on each and every page thereof by the party
and their instrumental witnesses and acknowledged to me that the same is their own free and voluntary will, act and deed.
Doc. No. :
Page No.:
Book No.:
Series of 2018.