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`The CENR Officer

DENR, CENRO, Argao, Cebu

Sir/ Madam:

I have the honor to request for the rejection of Free Patent Application. No. /
F.P.A. No. 072240 - 405 A in the name of _Sofronio T. Nellas covering Lot No. 5083,
Cad/ Pls. _846 -D_, located at Tangbo, Samboan, Cebu_.

_____________________________________________________________________

_____________________________________________________________________

Hoping for your kind consideration on the matter.

Very truly yours,

SOFRONIO NELLAS

SUBSCRIBED AND SWORN to before me this _______________ day of


____________________ at _______________________________, affiant exhibited to me
his/ her Community tax Certificate No. _______________ issued at
______________________on __________________.

NOTARY PUBLIC
Doc. No. _______
Page No _______
Book No. ______
Series of _______

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