REPUBLIC OF THE PHILIPPINES)

DAVAO CITY
)SS.
x---------------------------------------------x

AFFIDAVIT OF LOSS
I, CYRIL MAY LAGARTO SARCEDA, of legal age, single, and a
resident of Davao City, after being sworn in accordance with law hereby
depose and say that:
1. I am the holder of two pawn tickets issued by DALTON PAWNSHOP
located at City Hall Drive, Davao City;
2. Sometime in the month of July 2014, the aforesaid pawn papers
were among my effects that were stolen from me while I was in
Gaisano Mall of Davao City;
3. Notwithstanding diligent efforts exerted to find them, the same
were not found, recovered, or located, hence, considered lost and
destroyed for all intents and purposes.
4. I am therefore executing this affidavit to attest to the truth of all
the foregoing and to apprise DALTON PAWNSHOP of such fact of
loss, and for all other legal purposes this affidavit may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 30th day of
August 2014, in the City of Davao, Philippines.

CYRIL MAY LAGARTO SARCEDA

Affiant
SUBSCRIBED and sworn to before me, in the City of Davao, this 30 th
day of August 2014.

Doc No.________
Page No.________
Book No.________

ATTY. RALPH JAMES G. LAMAN

Notary Public
Until December 31, 2015
PTR No. 4353818 5/21/2014

Series of 2014.

IBP No. 968933 4/23/2014

Roll No. 62810
MCLE Compliance Certificate1

1 Recently been admitted to the Bar on May 06, 2014.