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REPUBLIC OF THE PHILIPPINES )

LEMERY, BATANGAS ). S.S.

AFFIDAVIT OF LOSS

I, SANDRA GARCIA MARANAN, of legal age, married, Filipino, and


a resident of Wawa Ibaba, Lemery, Batangas, after being sworn in
accordance with the law hereby depose and say that:

1. I am a holder of a receipt bearing the following details:

Model FP: 53KSV018313


2hp Condura
SN No. 0300/0183
Date of Purchase July 05, 2022
TR No. 62820/802

2. The above-mentioned receipt was lost sometime in 2023


because of inadvertence, it is no longer in my possession;

3. Despite diligent efforts in order to find and locate the said


receipt, the same could no longer be found and proved to be
beyond recovery;

4. That this affidavit was executed to attest the truth of the


foregoing and whatever legal purposes it may serve best.

IN WITNESS WHEREOF, we have hereunto set my hands this


January 25, 2024 at Lemery, Batangas, Philippines.

______________________________
__________
Sandra Garcia Maranan

SUBSCRIBED AND SWORN TO before me this this January 25,


2024 at Lemery, Batangas, Philippines, with affiant exhibiting her
_______________________at Lemery, Batangas.

Doc No.
Page No.
Book No.
Series of 2024.

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