RTC Construction and Supply

Dodan, Peñablanca Cagayan 3502

CP # 09361523568
Email ad – roldan.cagaid@yahoo.com

AFFIDAVIT OF NO RECEIPT

I, Roldan T. Cagaid the Proprietor/Manager of RTC Construction and Supply with office address at
Dodan, Peñablanca, Cagayan, after having been duly sworn to in accordance with law, do hereby
depose and say,

1. That I am attesting this affidavit for the non-existence of the receipts/certificate of registration
of the following equipment to be used for the project intended to bid if ever awarded:

1 Unit One Bagger Mixer

2 Units Cut-Off Machine
1 Unit Jackhammer
1 Unit Bar Bender
2 Units Welding Machine
2. That I am executing this Affidavit to attest the truth of all foregoing facts and for whatever legal
purpose it may serve.

IN FAITH WHEREOF, I have hereunto set my hand this _______ day of _______, 20_______ at
________________, Philippines.

ROLDAN T. CAGAID

Affiant

SUBSCRIBED AND SWORN to before me this _____ day of ________ at

_________________________, Philippines. Affiant exhibited to me his Professional Driver’s
License with License No. B04-08-004096 valid until 2032/03/29.

Witness my hand and seal this _____day of ______________.

NOTARY PUBLIC
Serial No. of Commission ___________
Notary Public for _______ until _______
Roll of Attorneys No. ________
PTR No. ________________________
IBP No. ________________________

Doc. No. _______

Page No. ______
Book No._______
Series of _______