AFFIDAVIT OF LOSS
4. I exerted diligent efforts to look and locate for said Delivery Receipt but all such
endeavors proved futile and to no avail;
5. I make these statements under oath and in good faith to establish the fact of the
loss of the above-mentioned Delivery Receipt;
6. I execute this Affidavit to attest to the truth of the foregoing facts based on
personal knowledge and authentic records and for whatever legal purpose it may
serve.
N WITNESS WHEREOF, I have hereunto set my hand on this 8th day of March
2016 at Zamboanga City, Philippines.
ALFREDO C. SEBASTIAN
Affiant
SUBSCRIBED AND SWORN to before me on this 8th day of March 2016 in the
City of Zamboanga, Philippines, Affiant ALFREDO C. SEBASTIAN exhibited to me his
TIN ID bearing No. 102-297-771 issued on __________ at Zamboanga City.
Doc No.____
Page No.____
Book No. ____
Series of 2016