ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES
[City/Province]

)
) S.S.

BEFORE ME, a Notary Public for and in [City/Province] this [date] day of [month] 2009 personally appeared:

 

Government ID No.

Date of Issue

Place of Issue

[The Company]
[Authorized
Representative of the
Company]
[The Performance
Security Issuer]
[Authorized
Representative of
Performance Security
Issuer]

 

 

 

all known to me and to me known to be the same persons who executed the foregoing Surety Bond and they acknowledged to me that the same is their own free voluntary act and deed.

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