Beef with Broccoli - Authentic Hong Kong Style
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REPUBLIC OF THE PHILIPPINES)
PROVINCE OF BATANGAS ) S.S.
CITY OF TANAUAN )
We, MARIO M. GOMEZ and RODOLFO P. VELASCO, 81 and 76 years old respectively, Filipino citizens, both residents of Barangay 4, Talisay, Batangas, Philippines, after having been duly sworn to in accordance with law, hereby depose and state that:
IN WITNESS WHEREOF, we have hereunto affixed our signatures this _____ day of ____________________, 2020 at Tanauan City, Batangas, Philippines.
MARIO M. GOMEZ RODOLFO P. VELASCO
Affiant Affiant
SUBSCRIBED AND SWORN to before me this _____ day of ____________________, 2025 at Tanauan City, Batangas, Philippines. Affiants MARIO M. GOMEZ and RODOLFO P. VELASCO appeared and exhibited to me their Community Tax Certificate Nos. 31888810 and 31888811, both issued at Talisay, Batangas on April 19, 2025.
Doc. No. __________;
Page No. __________;
Book No. __________;
Series of 2025
Note: All names, addresses, and other personal information appearing in this sample are fictitious and provided for example purposes only.
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