Republic of the Philippines }
Province of Leyte
} S.S.
In the City of Ormoc
}
SPECIAL POWER OF ATTORNEY
Know All Men By These Presents:
I, SUSAN S. SHI, of legal age, married, Filipino, resident of P Zamora St., Tacloban
City, Leyte, do hereby by these presents NAME, APPOINT and CONSTITUTE, SHIRLITA P.
SEMBRERO, of legal age, single, Filipino and with resident address at Brgy. Liloan, Ormoc
City, to be my true and lawful attorney-in-fact, for my and in my name, place and stead
to do and perform the following:
1. To transact business, process, update and represent my business firm with the
Bureau of Internal Revenue (BIR) and other government office;
2. To sign, acknowledge, and deliver such papers, documents and instruments
necessary to carry out the above-mentioned purpose;
3. To do such any other act or thing that may be required, necessary or incidental
to carry out effectively any and all of the purposes for which this authority is
hereby given.
HEREBY GIVING and GRANTING unto our said attorney-in-fact full powers and
authority to do and perform all and every act requisite or necessary to carry into effect
the foregoing authority, as fully to all intents and purposes as we might or could lawfully
do if personally present, hereby ratifying and all confirming all that our said attorney-infact shall lawfully do or cause to be done by virtue hereof.
IN WITNESS WHEREOF, I have hereunto set my hands this _____ day of _________
2019 in the City of Ormoc, Philippines.
SUSAN S. SHI
Principal
Signed in the presence of:
_____________________
Republic of the Philippines
In the City of Ormoc
_____________________
}
} S.S.
ACKNOWLEDGMENT
BEFORE me, a Notary Public for and in the Province and Cities of Leyte, on this
____ day of ____________ 2019, personally appeared Susan S. Shi with her competent
identification evidence, Philippine TIN No.: 930-960-940, made known to me and to me
made known to be the same person who executed the foregoing instrument and
acknowledged to me that the same is her free act and voluntary deed.
WITNESS MY HAND AND SEAL.
Doc. No.
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Page No.
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Book No.
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Series of 2019.