Republic of the Philippines
Province of Sarangani
               OFFICE OF THE MUNICIPAL AGRICULTURIST
                   MUNICIPALITY OF KIAMBA
                    e-mail address: omagfitskiamba@yahoo.com
                             AUTHORIZATION
I,  __________________________________   is  authorizing Ms./Mr./Mr
_________________________________ who is my _____________________
to claim the fertilizer allocated to me on my behalf due to
__________________________________________________________
Sincerely yours,
_______________________________________
Printed Name & Signature of Farmer