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Sworn Statement-Bir - Loose Leaf
Sworn Statement-Bir - Loose Leaf
1. That, ZAMBOANGA CITY WATER DISTRICT with business address at Pilar Street,
Zone IV, Zamboanga City is a Government-owned and controlled corporation, formed and
created pursuant to Title II, Chapter II, Section 6 of Presidential Decree No. 198, by
Resolution No. 77 adopted by the City Council od Zamboanga on March 4, 1974;
2. That in lieu of the investigation pursuant to RMC No. 13-82, we undertake to do/comply the
following:
a. That we identified the Computerized Water Official Receipts (continuous form) to be
used with Serial No. 2130001A to 2850000A, Pre-Printed Water Bills with Serial No.
5325000 to 7305000; and
b. That we commit to permanently bind the loose-leaf forms within fifteen (15) days
after the end of each taxable year or upon the termination of its use.
3. That we request for authority to use loose-leaf forms for computerized water official receipts
(continuous form) & water bills form in consideration of the above circumstances.
I declare, under the penalties of perjury, that the foregoing attestations are true and correct to the
best of my knowledge and belief.
IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of ____________, 20___ at
___________, Philippines