Affidavit Birthday

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Republic of the Philippines )

Province of Agusan del Norte ) S.S.


City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of NEMECIO BUGAIS are as
follows:

Birthday: February 14, 1959


Address: Lot No. 12 Blk. 05, Barangay San Vicente,
Butuan City

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

IN WITNESS WHEREOF, I have hereunto set my hand this


_______________________________.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ____________________________


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2017.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

4. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

5. That based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of NATIVIDAD C. BITO are as
follows:

Birthday: January 5, 1963


Address: Lot No. 05 Blk. 80, Barangay San Vicente, Butuan
City

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

IN WITNESS WHEREOF, I have hereunto set my hand this


_______________________________.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ____________________________


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2016.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )
AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

7. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

8. That based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of HERMINIO ATIS are as follows:

Birthday: March 1, 1960


Address: Lot No. 04 Blk. 80, Barangay San Vicente, Butuan
City

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

IN WITNESS WHEREOF, I have hereunto set my hand this


_______________________________.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ____________________________


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2016.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT
I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at
Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

10. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

11. That Based on the records of the Barangay, as verified by the Barangay
Secretary, the address and birthday of CLAUDIO S. AMOGUES Jr. are
as follows:

Birthday: February 26, 1971


Address: Lot No. 15 Blk. 22, Barangay San Vicente, Butuan
City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:
13. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

14. That Based on the records of the Barangay, as verified by the Barangay
Secretary, the address and birthday of CRISELDA S. TINDOY are as
follows:

Birthday: February 9, 1970


Address: Lot No. 07 Blk. 43, Barangay San Vicente, Butuan
City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

16. That I am the Punong Barangay of Barangay San Vicente, Butuan City.
17. That Based on the records of the Barangay, as verified by the Barangay
Secretary, the address and birthday of JUDITH M. ASIDERA are as
follows:

Birthday: December 12, 1969


Address: Lot No. 11 Blk. 20, Barangay San Vicente, Butuan
City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of ELENA LOTERIA ASIDERA are as
follows:
Birthday: May 18, 1960
Address: Lot No. 09 Blk. 20, Barangay San Vicente, Butuan
City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of JOEL M. ASIDERA are as follows:

Birthday: June 9, 1963


Address: Lot No. 10 Blk. 20, Barangay San Vicente, Butuan
City
3. That I am executing this affidavit to attest to the foregoing facts and for
whatever purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of JOVITA M. ASIDERA are as follows:

Birthday: June 9, 1961


Address: Lot No. 12 Blk. 20, Barangay San Vicente, Butuan
City

3. That I am executing this affidavit to attest to the foregoing facts and for
whatever purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this _______ of
________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

4. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

5. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of ALICIA A. LINGATONG are as
follows:

Birthday: June 6, 1961


Address: Lot No. 08 Blk. 48, Barangay San Vicente, Butuan
City

6. That I am executing this affidavit to attest to the foregoing facts and for
whatever purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this _______ of
________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

7. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

8. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of ALICIA A. LINGATONG are as
follows:

Birthday: June 6, 1961


Address: Lot No. 08 Blk. 48, Barangay San Vicente, Butuan
City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.
RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

10. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

11. That Based on the records of the Barangay, as verified by the Barangay
Secretary, the address and birthday of LORENZO C. TOONG are as
follows:

Birthday: June 5, 1946


Address: Lot No. 09 Blk. 54, Barangay San Vicente, Butuan
City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant
Subscribed and sworn to before me this ________ day of _____________ 2015,
affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

13. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

14. That Based on the records of the Barangay, as verified by the Barangay
Secretary, the address and birthday of JOSEPHINE L. PUZON are as
follows:

Birthday: November 6, 1957


Address: Lot No. 03 Blk. 57, Barangay San Vicente, Butuan
City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:
Competent Evidence of Date and Place of
Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of FELEMON S. LUMANTAS are as
follows:

Birthday: November 21, 1955


Address: Lot No. 01 Blk. 44, Barangay San Vicente, Butuan
City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of DOMENCIANO E. FRANCSICO
are as follows:

Birthday: July 6, 1962


Address: Lot No. 08 Blk. 89, Barangay San Vicente, Butuan
City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of LILIA GERAFOSCO are as
follows:

Birthday: March 25, 1947


Address: Lot No. 07 Blk. 75, Barangay San Vicente, Butuan
City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

4. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

5. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of NONIETO SABRINE are as
follows:

Birthday: March 29, 1951


Address: Lot No. 07 Blk. 55, Barangay San Vicente, Butuan
City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of CORNARDO M. ALLEN Sr. are
as follows:

Birthday: January 14, 1939


Address: Lot No. 02 Blk. 65, Barangay San Vicente, Butuan City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.
Republic of the Philippines )
Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of JULIANA QUIÑO are as follows:

Birthday: February 5, 1950


Address: Lot No. 04 Blk. 65, Barangay San Vicente, Butuan
City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.
Republic of the Philippines )
Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of JOSE A. BALINGUAT are as
follows:

Birthday: September 15, 1945


Address: Lot No. 07 Blk. 67, Barangay San Vicente, Butuan City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.
Republic of the Philippines )
Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of LETECIA JUMALON are as
follows:

Birthday: January 1, 1963


Address: Lot No. 05, Blk. 44, Barangay San Vicente, Butuan City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.
Republic of the Philippines )
Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of CARMEL BENAJE are as follows:

Birthday: February 9, 1969


Address: Lot No. 04, Blk. 44, Barangay San Vicente, Butuan City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of RICARDO BALDONADO are as
follows:

Birthday: February 20, 1961


Address: Lot No. 02 Blk. 26, Barangay San Vicente, Butuan City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )
AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of NICOMEDES MONGCAL are as
follows:

Birthday: January 18, 1958


Address: Lot No. 10 Blk. 47, Barangay San Vicente, Butuan City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT
I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at
Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of MARCELO MEDINA are as
follows:

Birthday: February 19, 1969


Address: Lot No. 10 Blk. 55, Barangay San Vicente, Butuan City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:
1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of ARESTONEITA TIERRA are as
follows:

Birthday: February 22, 1960


Address: Lot No. 03 Blk. 62, Barangay San Vicente, Butuan City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.


2. That Based on the records of the Barangay, as verified by the Barangay
Secretary, the address and birthday of MARIA BELLA FEDELIN are as
follows:

Birthday: September 24, 1956


Address: Lot No. 16 Blk. 12, Barangay San Vicente, Butuan City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of ALFREDO S. PENIDO are as
follows:
Birthday: September 24, 1956
Address: Lot No. 10 Blk. 18, Barangay San Vicente, Butuan City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of MANUEL OLASIMAN are as
follows:

Birthday: January 23, 1971


Address: Lot No. 03 Blk. 43, Barangay San Vicente, Butuan City
3. That I am executing this affidavit to attest to the foregoing facts and for
whatever purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of ROMEO LIGALIG are as follows:

Birthday: June 10, 1955


Address: Lot No. 05 Blk. 20, Barangay San Vicente, Butuan City

3. That I am executing this affidavit to attest to the foregoing facts and for
whatever purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this _______ of
________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of NILO BIÑAS are as follows:

Birthday: June 10, 1959


Address: Lot No. 09 Blk. 64, Barangay San Vicente, Butuan City

3. That I am executing this affidavit to attest to the foregoing facts and for
whatever purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this _______ of
________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of SONIA D. AL-AG are as follows:

Birthday: July 4, 1960


Address: Lot No. 03 Blk. 14, Barangay San Vicente, Butuan City

3. That I am executing this affidavit to attest to the foregoing facts and for
whatever purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this _______ of
________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of FERNANDO PAJARILLO are as
follows:

Birthday: April 5, 1968


Address: Lot No. 08 Blk. 06, Barangay San Vicente, Butuan City

3. That I am executing this affidavit to attest to the foregoing facts and for
whatever purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this _______ of
________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of EVELYN B. BERNADOS are as
follows:

Birthday: January 10, 1959


Address: Lot No. 06 Blk. 42, Barangay San Vicente, Butuan City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.
RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of PANFILO COSMOD are as
follows:

Birthday: September 24, 1956


Address: Lot No. 10 Blk. 79, Barangay San Vicente, Butuan City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant

Subscribed and sworn to before me this ________ day of _____________ 2015,


affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

Republic of the Philippines )


Province of Agusan del Norte ) S.S.
City of Butuan )

AFFIDAVIT

I, RAUL P. CARAMPATANA, of legal age, Filipino and with residence at


Purok 13-B Mangosteen, Prince Kim Sub., Barangay San Vicente, hereby depose
and state THAT:

1. That I am the Punong Barangay of Barangay San Vicente, Butuan City.

2. That Based on the records of the Barangay, as verified by the Barangay


Secretary, the address and birthday of ALFREDO C. JUMAWAN Sr. are
as follows:

Birthday: January 4, 1955


Address: Lot No. 12 Blk. 06, Barangay San Vicente, Butuan City

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

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of


________________________ 2015.

RAUL P. CARAMPATANA
Affiant
Subscribed and sworn to before me this ________ day of _____________ 2015,
affiant showing to me his competent evidence of identity as follows:

Competent Evidence of Date and Place of


Name
Identity Issue
RAUL P. CARAMPATANA TIN: 110–587–663–000

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.

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