S.S.
Affiant
Affiant
SUBSCRIBED AND SWORN to before me, this 27 th day of October, 2010 at Taytay,
Rizal _____________________________ exhibiting to me her Social Security System I.D. with
No. _____________________________ issued by SSS Quezon City and Postal I.D. with No.
_____________________________ valid until 9-23-2013 issued at Taytay, Rizal and
_____________________________exhibiting to me his Social Security System I.D. with No.
_____________________________issued by SSS Quezon City and Professional Regulations
Commission issued on 1-5-2009 at Manila.
NOTARY PUBLIC
Doc No. _____
Page No. _____
Book No. _____
Series of 2010