From “The Last American Flag on Philippine Soil,” by Pura Villanueva Kalaw:
The flag was going to be the last to fly over the Philippines. It was to descend after having flown over this country for almost half a century. Vice-President Elpidio Quirino had told me a few days before that the three First Ladies who had presided over Malacañan Palace, Mrs. Manuel L. Quezon, Mrs. Sergio Osmeña, and Mrs. Manuel Roxas, assisted by several representative Filipino women, were to give the finishing sewing touches to the silver stars on the last American flag. After the ceremonies of the inauguration of the Philippine Republic, this historical flag was to be sent to the United States as souvenir from the loving Filipino people.
The forty-eight stars on the flag of the United States of America were sewn by different groups of ladies representing all the provinces of the Philippines. The collective was supervised by the Mrs. Manuel Roxas, Mrs. Manuel L. Quezon, and Mrs. Sergio Osmeña. Pura Villanueva Kalaw, who was among those invited to sew the stars, recounts her experience in her essay, “The Last American Flag in Philippine Soil.” The Philippine flag used in this ceremony was donated by the government of the United States. The size of the flag was 10 by 19 feet.