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Municipality/City: Pudtol · BALLIENTE, Roman Acidera — Independent · PATAYAN, Edaño Tucrang — NPC · PERALTA, Marlon Viloria — Independent
molina, elmer ramil elmer 11 lks-kam pascua, richard dela cruz ric 12 lks-kam peralta, marlon viloria marlon 13 np signed here : _____
Municipality/City: Pudtol · BALLIENTE, Roman Acidera Independent · PATAYAN, Edaño Tucrang NPC · PERALTA, Marlon Viloria Independent
Prov'l. Gov't. Dept. Head: Ma. Victoria Cu : Administrative officer IV: Herminia Bundoc : Records Officer II: Teresita Riego : Administrative Officer I : Leonila F. Tadena
molina, elmer ramil elmer 11 lks-kam pascua, richard dela cruz ric 12 lks-kam peralta, marlon viloria marlon 13 np signed here : _____
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