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Affidavit of Loss: Francis P. Mansilla
Affidavit of Loss: Francis P. Mansilla
Affidavit of Loss: Francis P. Mansilla
AFFIDAVIT OF LOSS
2. Sometime November 2018, while I was at San Francisco, Agusan del Sur I may have misplaced
my Driver’s License;
3. I exercised due diligence in locating my Driver’s License and have reported its loss to the proper
LTO Office, Patin-ay, Prosperidad, Agusan del Sur;
4. My efforts to locate my Driver’s License have failed since until now the same has not been
found, leaving me with no other recourse but to request and process for the issuance of a
replacement of Driver’s License, for which purpose this affidavit is executed; and
IN WITNESS WHEREOF, I hereunto affix my signature this 18th day of February 2019 at Patin-ay,
Prosperidad, Agusan del Sur, Philippines.
FRANCIS P. MANSILLA
Affiant
SUBSCRIBED AND SWORN to before me, this 18th day of February 2019 at Patin-
ay Prosperidad, Agusan del Sur;