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IN CASE OF EMERGENCY PLEASE NOTIFY

NAME: GRACE GELBERO

ADDRESS: PRK 6-B PEDA ST. SAN

FRANCISCO CITY OF
PANABO
TEL NO.: 0968-0963397
ADDTIONAL INFORMATION
SHYREN GRACE GELBERO
SSS NO: 09-388-68013
T.I.N: 321-426-853-000
Employee's THISCERTIFIESTHATTHEPERSONWHOSEP
Signature ICTUREAND
Assigned To: Employee No. SIGNATUREAPPEARSHEREOFISANEMPLOYEEOF
SERVICE CREW 020122 RONS LECHON HAUS

RONS LECHON HAUS


1050 Cabaluna St. Panabo
NELLY M. CORALDE
Authorized Signature
City Tel Nos. (+63) 998 989
8894

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