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SPA Refund

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REPUBLIC OF THE PHILIPPINES)

CITY OF CEBU ) S. S.
x- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -x

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THIS PRESENTS:

I, --- , of legal age, Filipino, married, and resident of -----, do hereby name, constitute,
and appoint our liaison officer Mr. ----- , of legal age, Filipino, single, and resident ----- to be my true
and lawful ATTORNEY-IN-FACT, for me in my name, place and stead to do and perform the following
acts and things, as follows:

To receive the cheque issued to me in my name by ----- for the approved refund of my
airplane expense which was used when I was still employed in said company for a business trip to
Manila last -----, and to sign or do all other acts necessary for the fulfillment of said authority.

HEREBY GIVING AND GRANTING unto the said Attorney-in-Fact full power and
authority to do and perform any other acts and things whatsoever requisite and necessary to be done
in and about the premises as fully to all instants and purposes as I might or could lawfully do if
personally present and hereby RATIFYING AND CONFIRMING all that my said Attorney-in-Fact shall
lawfully or cause to be done by virtue of these present.

IN WITNESS WHEREOF, I have hereunto affixed my signatures this _______________ at


Cebu City, Philippines.

-----
Principal

-----
Attorney-in-Fact

Signed in the presence of:

___________________________ _____________________________

ACKNOWLEDGEMENT

BEFORE ME, a Notary Public in and -----, Philippines, this ________________,


personally appeared:

--- - ________________________________
--- - ________________________________________________

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

WITNESS MY HAND AND SEAL, on the date and place first above written.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2023.

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