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Affidavit of Loss I,, of Legal Age, Single, Filipino Citizen and A Resident of Digos City

Teodoro Dofiles II, a consultant for tourism in Digos City, Philippines, executed an affidavit of loss stating that he traveled to Iloilo per his mayor's order and was issued a registration fee receipt, but has since lost it inadvertently despite searching. In the affidavit, he attests to the truth of losing the registration fee receipt and informs the concerned government of its loss. He signed the affidavit on October 15, 2008 in Digos City.

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167 views1 page

Affidavit of Loss I,, of Legal Age, Single, Filipino Citizen and A Resident of Digos City

Teodoro Dofiles II, a consultant for tourism in Digos City, Philippines, executed an affidavit of loss stating that he traveled to Iloilo per his mayor's order and was issued a registration fee receipt, but has since lost it inadvertently despite searching. In the affidavit, he attests to the truth of losing the registration fee receipt and informs the concerned government of its loss. He signed the affidavit on October 15, 2008 in Digos City.

Uploaded by

jade123_129
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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Republic of the Philippines)

Province of Davao del Sur)S.S.


City of Digos )

AFFIDAVIT OF LOSS

I, , of legal age, single , Filipino Citizen and a resident of Digos City,


Davao del Sur, Philippines after having been duly sworn to in accordance with
law do hereby depose and state:

That I am the same and identical person who caused the execution of this
instrument;

That I am presently the Digos City Consultant of Tourism under the Office
of City Mayor;

That I have been ordered by the City Mayor Arsenio “Boy” Latasa to
travel to Iloilo under a Memorandum order duly issued by said Office.

That I traveled to Iloilo and was issued a Registration Fee Receipt when I
traveled to Iloilo.

However, I thought I have kept all my travel documents like Registration


Fee for liquidation purposes.

But when I checked said travel documents I have discovered that the
Registration Fee was lost inadvertently.

That I exerted diligent effort in finding said Registration Fee Receipt


but it turn out to be futile and cannot be found despite my tireless efforts;

That I am executing this instrument to inform concerned Government of


the lost of the said Registration Fee Receipt and attest to the truth and
veracity of the same;

IN WITNESS WHEREOF, I have set my hand this 15 th day of October 2008


at Digos City, Davao del Sur, Philippines.

TEODORICO N. DOFILES II
AFFIANT

SUIBSCRIBED AND SWORN to before me this 17th day of October 2008 in


the Coty of Digos, Davao del Sur, Philippines.

DOC.No. ;
Page No. ___;
Book No.____;
Series of 2008

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