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issued by Cebuana Lhuillier with office address at Poblacion, Pulilan Bulacan and more

particularly described as follows :

Ladies Ring
Karat; 5.3
Php 9,000
Date pawn: 10-10-2020
Expiration date: 11-10-2020

which was either lost or misplaced last December 5, 2020 and despite diligent effort I could not
located it anymore;

That, I executed this affidavit to attest to the truth of the foregoing and for all legal intents and
purposes;

IN WITNESS WHEREOF I, have hereunto affixed my signature this 15 th day of December, 2020 hereat
Pulilan, Bulacan.

issued by Cebuana Lhuillier with office address at Poblacion, Pulilan Bulacan and more
particularly described as follows :

Ladies Ring
Karat; 5.3
Php 9,000
Date pawn: 10-10-2020
Expiration date: 11-10-2020

which was either lost or misplaced last December 5, 2020 and despite diligent effort I could not
located it anymore;

That, I executed this affidavit to attest to the truth of the foregoing and for all legal intents and
purposes;

IN WITNESS WHEREOF I, have hereunto affixed my signature this 15 th day of December, 2020 hereat
Pulilan, Bulacan.

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