ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF CEBU)
CITY OF CEBU) S.S.
BEFORE ME, a NOTARY PUBLIC for and in the above jurisdiction, this 1 st day of October, 2021, personally
appeared the following persons [4] NAME [5] IDENTIFICATION [6] DATE AND PLACE OF ISSUANCE
____________________ ___________________ _______________________ ____________________
___________________ _______________________
Known to me to be the same persons who executed the foregoing instrument and they acknowledged
to me that the same is their own free and voluntary act and deed and of the corporations herein
represented.
This instrument refers to a (title of document) and consists of 3 pages including the page on which this
acknowledgment is written and signed by the parties and their instrumental witnesses on each and
every page thereof.
WITNESS MY HAND AND SEAL on the date and at the place above written.
JEANNE THERESE V. GUELEN
NOTARY PUBLIC- Cebu City
Appointment No. ____
Until December 31, 2021
Roll no. ____
PTR no. ____, date of issue, place of issue
IBP no. _____, date of issue, place of issue
Office Address:
Email:
Contact Number:
Doc. No._____;
Page No. ____;
Book No.____;
Series of 2021.
