SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
I, _______________________, of legal age, Filipino citizen and a resident of
_______________________by these presents do hereby NAME, CONSTITUTE AND
APPOINT, as I have NAMED, CONSTITUTED AND APPOINTED MR.
NEILMAR A. LABI, of legal age, Filipino Citizen, with an office address at
_________________, to be my true and lawful Attorney-in-Fact, for me and in my
name, place and stead, do and perform the following acts and things to wit:
1. To appear and represent me on the proceedings of that case for
Reckless Imprudence Resulting in Damage to Property, now pending
before _______________________________, docketed as Criminal Case No.
____________;
2. To enter into any settlement and to execute, sign, and receive any
papers or documents such as Compromise Settlement or
Memorandum of Agreement in relation to the said case to give effect
to the foregoing authority;
3. To perform all acts which may be necessary under the premises.
HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full
power and authority to do and perform every act and thing whatsoever requisite
and necessary in the premises and hereby confirming and ratifying all that my
said Attorney shall do or cause to be done for all intents and purposes as I might
or could do if personally present until expressly revoked.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ___
day _____________ in _________________, Philippines.
_____________________
Principal
SIGNED IN THE PRESENCE OF:
__________________________
ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
_______________________) s.s.
BEFORE ME, a Notary Public for and in the Province of ______________,
Philippines, appeared the above-named person known to me through competent
evidence of identity with photograph and to me 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, this ___th day _______ in
__________________________, Philippines.