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June 11, 2019

AUTHORIZATION

THIS IS TO AUTHORIZED the bearer MR. RICARDO L. LUCAS my husband to process

my PHILHEALTH account in order to have my updated Member Data Record which is needed as

a supporting documents in PHILHEALTH claim at the hospital.

Together with this letter is my two (2) Valid I.D.’s to attest

Hoping for your kind consideration.

Thank you,

MA CHRISTINA A. LUCAS

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