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AFFIDAVIT OF LOSS
3. That the said motor bancas were totally damaged by typhoon Sendong
last December 2011 and thereafter has never been used by the
corporation;
JOSEFINA GARCIA
Passport ID P2566921B
AFFIANT
SUBCRIBED AND SWORN TO before me this ___ of
________________ at Dumaguete City Philippines, affiant exhibiting to me
her valid proof of identification as described above.