REPUBLIC OF THE PHILIPPINES

PROVINCE OF LAGUNA S.S.

CITY OF SANTA ROSA

SWORN SATEMENT OF GROSS SALES/RECEIPT

I, ANNABEL BOŇGOL ALMONTE, Filipino, single, of legal age, residing at

and with postal address at #33, Solid Gold Building, National Highway,
Tagapo, City of Sta. Rosa, Laguna, after having been sworn in accordance with
law hereby depose and state, THAT:

I am the owner/ proprietor of the business establishment

named NESAN FOODHOUSE located at #33, Solid Gold Building,
National Highway, Tagapo, Sta. Rosa City, Laguna,

For the year 2010, the said business establishment

generated the amount of One Hundred Ninety Five Thousand Two
Hundred Pesos (P 195,200.00) as annual gross sales.

I am executing this affidavit to attest to the truth of the

foregoing and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 14 TH day of

March 2011 at Sta. Rosa City, Laguna.

ANNABEL BOŇGOL ALMONTE

Affiant

SUBSCRIBED AND SWORN to before me, this 14 TH day of March 2011 in

Sta. Rosa City, Laguna, with affiant exhibiting her COMELEC ID with
VIN.3428-0335E-D1576ABA20000-8.

Doc. No. : ________;

Page No. : ________;
Book No. : ________;
Series of 2011.