Republic of the Philippines)

City of Zamboanga
)s.s.
X-----------------------------------X
AFFIDAVIT OF LOSS
I, CHRISTOPER ARPA BALAORO, of legal age, married, Filipino citizen
and a resident of Island DR. Pasonanca, Zamboanga City Philippines, after
having been duly sworn to in accordance with law, hereby depose and say, that:
1. Sometime on May 2015, I pledged a certain pieces of jewelries with
Sun Gate Pawnshop, Inc., with business address at Island DR.
Pasonanca, Zamboanga City and as such I was issued a pawn ticket,
which are particularly described as follows, to wit:
1 COL-RING NOTRE DAME OF DADIANGAS COLLEGE.BSC
1999 ELAINE B. SIOSE DFD SCRTHD DSCL DRTY APPROX
6.1G.
1 BLT 19.3CM TAG S CH W/DSN 2CLR HLW DFD SCRTHD
DSCL DRTY APPROX 3.0G.
2. Said pawn tickets were usually kept in my drawer at my residence for
safe keeping;
3. However, due to inadvertence and/or oversight, I discovered that the
above-mentioned pawn tickets were missing and its whereabouts are
unknown;
4. I exerted diligent efforts to locate and look for the above-mentioned
pawn tickets in other places, but the same proved futile and to no avail;
5. For all intents and purposes, I am now declaring the above-mentioned
pawn tickets lost and beyond recovery;
6. I execute this Affidavit to attest to the truth of the foregoing facts based
on my personal knowledge and for whatever legal purpose it may
serve.
IN WITNESS WHEREOF, I have hereunto set my hand on this 31th day of
July 2015 at Zamboanga City, Philippines.

CHRISTOPER ARPA BALAORO

Affiant
SUBSCRIBED AND SWORN to before me on this 31 day of April 2015, in
the City of Zamboanga, Philippines. Affiant exhibited to me his Unified MultiPurpose Identification Card bearing number 006-0119-7928-9 issued
at
Zamboanga city, Philippines.
Doc. No. ___
Page No. ___
Book No. ___
Series of 2015