Republic of the Philippines)

Davao City )S.S

X--------------------------------X

AFFIDAVIT OF EXPLANATION

I, LUCIANO P. CAONG, of legal age, Filipino and a resident of Matina Pangi, Davao City,
Philippines, after having been duly sworn to in accordance with the law hereby, depose and
say:

That I am registered owner of the motor vehicle/motorcycle particularly described as

follows, to wit:

MAKE & TYPE OF BODY : KAWASAKI/MC

MOTOR No. : BC175AEBW3010
SERIAL/CHASIS No. : BC175N-B25801
PLATE No. : L976ET
Color : Black

That I contracted the services of ALEX P. GELICAÑA, to install a side car for the
aforementioned motorcycle;

That ALEX P. GELICAÑA, could not issue an official receipt for the labor and materials for
he does not have a registered shop;

That I could attest to the fact that the materials used where not stolen or gained
through illegal means;

That I am executing this affidavit to attest to the veracity of the foregoing facts and for
whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this_______ day of ___________

20 ____ at Davao City, Philippines.

ALEX P. GELICAÑA
Affiant

SUBSRIBED and SWORN to before me this ________day of ______________________

20____ at Davao City, Philippines. Affiant exhibited to me his/her Community Tax Certificate
Number ____________ issued on _____________________ issued at _________________,
Philippines.

Doc No. :________

Page No.:________
Book No.:________
Series of 2024