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REPUBLIC OF THE PHILPPINES )

CITY OF GENERAL S A N T O S ) S.S.


x---------------------------x

AFFIDAVIT OF LOSS

I, ROSEMIN H. ABAY, of legal age, Filipino, married with


residence and postal address at Lilly of the Valley, Calumpang, General
Santos City, after having been duly sworn to in accordance with law, do
hereby depose and say:

1. That I am a holder of a Locker ID issued by Philbest Canning


Corporation, Tambler, General Santos City;

2. That sometime in March 2012 said Locker ID was lost while


inside my bag and diligent efforts exerted to locate the same
proved futile and is now considered lost;

3. That I am executing this affidavit to attest to the truth of the


foregoing facts and for whatever purpose this may legally
serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 9 th day


of June, 2012 at General Santos City.

ROSEMIN H. ABAY
Affiant
CTC No. 19219767
Issued on 6-1-2012
General Santos City

SUBSCRIBED AND SWORN to before me this 9th day of June, 2012


at General Santos City, Philippines.

Doc. No. _________;


Page No. _________;
Book No. _________;
Series of 2011.

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