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Republic of the Philippines)

City of Iloilo ) S.S


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

AFFIDAVIT OF LOSS
I, CHEENEE J. ABONADO, of legal age, single, Filipino citizen and
resident of Angela Avenue St., Balabag, Pavia, Iloilo, Philippines, under oath,
depose and say that:

I am a holder of a Professional Driver’s License issued by the Land


Transportation Office, Iloilo with following description:
License No.: F0318S20868
Issued On: 10/26/2018
Expiration Date: 10/26/2019

Last November 5, 2018 I lost my driver’s license and despite diligent


efforts to locate it, it could no longer be found.

I execute this affidavit in order to attest to the truth of the above-


stated facts and to inform the appropriate officers of the Land Transportation
Office that I lost said driver’ license and request to issue me a new license
in lieu of the lost one.

IN WITNESS WHEREOF, I have hereunto set my hand this 28th day


of November 2018 at Iloilo City, Philippines.

CHEENEE J. ABONADO
Affiant

SUBSCRIBED AND SWORN to before me this 27th day of March


2015 at Iloilo City, Philippines, affiant exhibiting to me his TIN ID with No.
460-651-452.

Doc. No. _____; ATTY. STEWART PAUL T. TORRE


NOTARY PUBLIC in the CITY AND PROVINCE OF ILOILO
Page No. _____; Notarial Commission Registration No.: 187
Valid until December 31, 2018
Book No. _____; IBP No.1049090-Iloilo City-December 11, 2017
PTR No. 5810462-Iloilo City-January 5, 2018
Series of 2018. Roll of Attorneys No. 67265
MCLE Compliance VI-0010210
2nd Floor A & L Building, E. Lopez St., Jaro Iloilo City

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