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REPUBLIC OF THE PHILIPPINES )

PROVINCE OF NUEVA VIZCAYA ) s.s.


MUNICIPALITY OF KAYAPA )

Before me on this day of 8th day of October 2018 at Pampang, Kayapa, Nueva Vizcaya, personally
appeared DANILO D. BASATAN with his Tax Identification Number. 916-239-590-000, known to me to be
the person who executed the foregoing Document, and he acknowledged to me that the same is his
voluntary act.

This Document relates to the Authorization executed by DANILO D. BASATAN, authoring


MARIBEL L. ALIS for the renewal of Car Registration at the Land Transportation Office at East Avenue
Quezon City.

WITNESS MY HAND AND SEAL.

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