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ACKNOWLEDGEMENT

Republic of the Philippines )


Tarlac City ) S.S

Before me, this ______ day of _____________, 20 ____, the following persons
personally appeared:

NAME GOV’T ISSUED ID DATE/PLACE OF ISSUED

Known to me and to me known to be the same persons who executed the foregoing
CONTRACT OF LEASE and they acknowledged to me that the same is their free and
voluntary act, in the capacity in which they appeared.

This document refers to a CONTRACT OF LEASE which consist of Eleven pages (11)
including this page where the acknowledgement is written, signed by the parties and
their instrumental witnesses on the copies of pages 1 through 10 on the left margin and
on page 11 at the end of the body of instrument.

WITNESS MY HAND SEAL on the date and at the place hereinafter mentioned.

Doc No. _______:


Page No. ______:
Book No. ______:
Series of _______.

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