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Affidavit 111

1) Reggie Baltazar, an employee of Hacienda Macaluan Inc., filed an affidavit stating that he is responsible for receiving receipts issued to the company but that counter receipt no. 032749 from February 2013 for Php 12,371.24 went missing despite searching. 2) He believes the receipt is lost beyond recovery. 3) He signed the affidavit to attest to the truth of the missing receipt and for any legal purposes.

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33 views1 page

Affidavit 111

1) Reggie Baltazar, an employee of Hacienda Macaluan Inc., filed an affidavit stating that he is responsible for receiving receipts issued to the company but that counter receipt no. 032749 from February 2013 for Php 12,371.24 went missing despite searching. 2) He believes the receipt is lost beyond recovery. 3) He signed the affidavit to attest to the truth of the missing receipt and for any legal purposes.

Uploaded by

Didi Miira
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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EPUBLIC OF THE PHILIPPINES)

City of Makati ) S.S.


x-----------------------x

AFFIDAVIT OF LOSS
I, REGGIE C. BALTAZAR, Filipino, of legal age, married, and with office
address at 7/F Pacific Star Bldg., Sen. Gil Puyat Ave. cor. Makati Ave., Makati City,
Philippines, after being duly sworn in accordance with law, depose and state:

1. That I am the Billing and Collection Department Head of HACIENDA


MACALAUAN, INC., a corporation duly organized and existing under
and by virtue of the laws of the Republic of the Philippines;

2. That being given the above-mentioned position, it is my responsibility


to receive and keep in my custody Counter Receipts issued by
Supermarket in favor of our Company;

3. That sometime in March 2013, the original copy of COUNTER


RECEIPT No. 032749 dated February 27, 2013 which contains the
following verified Sales Invoice:

Sales Invoice No. Amount


218951 Php 3,950.50
218950 Php 4,266.34
218949 Php 4,154.40
Total Php 12,371.24

could not be found and that despite of diligent search and efforts, the
same could no longer be found such that I now believe that it is now
lost beyond recovery.

4. As such, I am executing this Affidavit of Loss to attest to the truth of


the foregoing and for whatever legal purposes that this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 20th day of May
2013 at Makati City, Philippines.

REGGIE C. BALTAZAR
AFFIANT

SUBSCRIBED AND SWORN to before me, this 20th day of May by the Affiant who
whom I have identified through competent evidence of identity and who exhibited her
SSS ID No. 33-1213415-3 issued at Makati City on April 2006.

Doc. No. ______;


Page No. ______;
Book No.______;
Series of 2013.

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