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That I, Janet F. Antonio , Filipino, of legal age, a resident of 137 MH Del Pilar St. Rodriguez, Rizal, is
the lawful owner of a certain motor vehicle which is more particularly described as follows:
IN WITNESS WHEREOF, we have hereunto affixed our hands this 03 day of November 2017 at 137
137 MH Del Pilar St. Rodriguez, Rizal.
_____________________________ ______________________________
ACKNOWLEDGEMENT
Known to me and to me known to be the same persons who executed the foregoing instrument and
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.
Notary Public
Doc. No.______;
Page No. ______;
Book No.______;
Series of 20___.