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SPA TO PICK UP Death Cert

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SPECIAL POWER OF ATTORNEY

KNOW ALL BY MEN THESE PRESENTS:


WE, ASUNCION G. ANDRES, of legal age, widowed and a resident of Concepcion,
Amulung, Cagayan and MARIO B. GAMMAD, of legal age, widowed and resident of #107
A. Calimag St. Pinagbuhatan, Pasig City do hereby NAME, CONSTITUTE, and
APPOINT our grandson JOHN RUDOLPH A. CALLO of legal age, Filipino, married and
a resident of Concepcion, Amulung, Cagayan to be our true and lawful Attorney-In-Fact, for
us, in our name, place and stead to do and perform all of any of the following;
1. To REPRESENT for us and on our behalf in the issuance of the Death Certificate
of our brother Felipe B. Gammad;

2. To transact with the Philippine Statistics Authority and other concerned agencies
for the issuance of our brother’s Death Certificate;

3. To receive the Death Certificate of our brother in behalf of us;


4. To sign, execute, receive and/or deliver documents, other papers and/or money to
effect with her powers stated in this authorization pertinent to the above
described authorities.

HEREBY GIVING AND GRANTING unto our said Attorney-In-Fact full power and authority
to do and perform all and every act requisite or necessary to carry into effect the foregoing
authority to receive, as fully to all intents and purposes as we might or could lawfully do if
personally present, with full power of substitution and revocation, and hereby ratifying and
confirming all that our said attorney-in-fact or his/her substitutes shall lawfully do or cause
to be done by virtue hereof.
IN WITNESS WHEREOF, we hereunto set our hands this ________________ at
Tuguegarao City, Cagayan.

ASUNCION G. ANDRES, MARIO B. GAMMAD,


Principal Principal
ID: _______________________ ID: _______________________

JOHN RUDOLPH A. CALLO


Attorney-in-Fact
ID: __________________________

SIGNED IN THE PRESENCE OF:

__________________________ __________________________
ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )


TUGUEGARAO CITY, CAGAYAN ) S.S

BEFORE ME, a Notary Public for and in the province of Cagayan personally appeared the
above names presenting their competent evidence of identity, who represented to me their
respective signature on the foregoing instrument were voluntarily affixed by them for the
purpose stated in the instrument as their free and voluntary act and deed.

WITNESS my hand and seal this _________________ at Tuguegarao City, Cagayan,


Philippines.

Doc. No.
Page No.
Book No.
Series of 2021.

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