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Republic of the Philippines)

City of Makati ) S.S. HEADER/ VENUE


x-------------------------------------x OF EXECUTION

AFFIDAVIT OF SERVICE TITLE

I, Juan Tamad, of legal age, Filipino, married and a resident of 12345 Malinis St. cor.
Malinaw Dr., Makati City , after having been duly sworn to in accordance with law, do hereby
depose and say that: PERSON’S
BONA FIDES
1. I am the Supervisor of Marketing Department of AHA Fruits Company ;

2. On January 7, 2019 , I was tasked to serve a copy of the Summons addressed to


General Food Products Distribution Co through its office address at 6th Floor Magellan
Building, Ayala Avenue, Makati;

3. In compliance with the said order, I served the same at its office in 6th Floor
Magellan Building, Ayala Avenue, Makati on such date at 10:30 A.M.;

4. Upon service of the said letter to Atty. Kap- Uy named as one of its resident
agent, the latter after reading and accepting the same, audaciously refused to sign the
receiving copy thereof;

5. Because of such refusal, I noted such development on our receiving copy and
sign the same after affixing the date and time of such service;
STATEMENT
6. I am executing this document to attest to the truth of the foregoing;

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto set my hand this 7th day of June 2019, OATH
Makati City, Philippines.

Juan Tamad
Affiant
Voters ID # 555555

SIGNATURE

SUBCRIBED AND SWORN TO before me this 7th day of January 2019 in Makati City, Metro
Manila, Philippines, affiant exhibiting to me his valid proof of identification.

Macario Sakay
125 Gregorio Del Pilar St., Brgy. San Lorenzo, Makati City
0999 900 567
Roll No. 09876
PTR No.7654321; 01-30-19, City of Makati City
IBP No. 098765; 01-30-19
MCLE No. VI-5643786; February 28, 2019
Compliance expires on December 31, 2019

Doc. No. _____;

JURAT
Page No. _____;
Book No. _____;
Series of 2019.

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