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Republic of the Philippines )

Province of Oriental Mindoro )S.S.


Municipality of Gloria )

x----------x

AFFIDAVIT

I, ROMEO ROTAQUIO CRISOSTOMO, Filipino, of legal age, married to


CARMENCITA CRISOSTOMO, and a resident of Brgy. Alma Villa, Gloria,
Oriental Mindoro Philippines, after being sworn in accordance with law, depose
and state:

That I am the owner of a CHAIN SAW machine described as follows;


Brand: STIHL
Serial: 202-02-1958
Date of Acquisition: April 11, 2011

That I acquired a Brand New unit of CHAIN SAW from CALORMIN


ENTERPRISES on April 11, 2011 with Sales Invoice number 4670

That I used the said chain saw in my legitimate business of buy and sell,
and contracting and cutting of lumber and related products;

That as owner thereof, I undertake to obey and follow the laws and
pertinent local resolutions and ordinances that may be imposed or serve as
limitations to the use of the said chainsaw;

I also declare that I have never been charged of any offense that may
have relation to or connection with violation of Presidential Decree 705 or
other related laws;

I am executing this statement to attest to the truth of all the foregoing


atatements.

IN WITNESS WHEREOF, I have hereunto set my hand this 14 th of April


2011 in Gloria Oriental Mindoro, Philippines.

ROMEO R. CRISOSTOMO
AFFIANT

SUBSCRIBED AND SWORN to before me this 14 th day of April 2011 at


Gloria, Oriental Mindoro, affiants personally known to me and exhibiting to me
his Community Tax Certificate with # 02679844 issued las April 13, 2011 at
Gloria, Oriental Mindoro

ATTY. VIC RUSKIN M. ONG


Until December 31, 2011
Doc. No. 159;
#158, VT Bldg, Gloria, Oriental Mindoro
Page No. 33;
Roll of Attorney No. 58374
Book No. I;
IBP LRN No. 09628 / Or. Mdo. / 01-27-11
Series of 2011 PTR No. 3627123 / Or. Mdo. /01-26-11

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