Affidavit of Loss
Affidavit of Loss
City of Davao ) SS
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AFFIDAVIT OF LOSS
_______________________________
LARRY JAMES HURTADO
Affiant
AFFIDAVIT OF LOSS
I, SANDRA M. MANLIGOY, of legal age, Filipino, single and a
resident of Blk. 33, Lot 5/7, Suraya Homes, Cabantian, Buhangin,
Davao City, after having been duly sworn to in accordance with law, do
hereby depose and say, that:
- PRC-Teacher’s License;
- School Identification Card (University of Mindanao).
__________________________
SANDRA M. MANLIGOY
Affiant
AFFIDAVIT OF LOSS
Make : Toyota
Type : Sedan;
Motor No. : B3-812167;
Chassis No. : KNADB2222SS207365;
Plate No. : MBX-705;
Year Model : 2003;
Color : White;
_______________________
VICKY M. MANLIGOY
Affiant
AFFIDAVIT OF LOSS
_______________________________
POLICARPIO V. MAYPA, JR.
Affiant
________________)________________
VERYLE V. MAYPA-BOYLES
Affiant
CTC No. 08478287;
Issued on May 29, 2003
At Mati, Davao Oriental
__________________________________
MA. ARLENE T. MERCADO
Affiant
CTC No. 14336794
Issued on Feb. 22, 2002
At Davao City
POLICARPIO V.
MAYPA. JR.
Notary Public
Until December 31,
2002
PTR No.6273080; 01-
02-02
IBP No.539704; 12-11-
01
Davao City
AFFIDAVIT OF LOSS
2. I lost the hard copy of the said policy a few years back when
my family and I transferred our residence from #1 Vienna St., Merville
Park Subd., Parañaque to #161 Mariveles St., Central Park Subd.,
Bangkal, Davao City;
__________________________
MARLA E. MERCADO
Affiant
CTC No.2627657
Issued on Jan. 8, 2002
At Davao City
AFFIDAVIT OF LOSS
____________________________
ANTHONY R. HILOMEN
Affiant
CTC No. 04958301; 1-28-2002
Davao City
AFFIDAVIT OF LOSS
____________________________
ANTHONY R. HILOMEN
Affiant
CTC No. 04958301; 1-28-2002;
Davao City
AFFIDAVIT OF LOSS
____________________________
NOEL A. TAGANAHAN
Affiant
CTC No. 18941034; 1-05-2001;
Davao City
AFFIDAVIT OF LOSS
____________________________
VIRGO JOHN R. VENTURA
Affiant
CTC No. 12887131; 4-06-2001;
Davao City