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AFFIDAVIT OF LOSS

I,
_______________,
of
legal
age,
single,
and
resident
of_____________________________, after being duly sworn according to law,
hereby depose and state that:

1. I am the Custodian of ________________________________;


2. Sometime in ____________________, the above mentioned invoice and
receipt were lost under the following circumstances:
That
on
or
about
__________________________________________________________
__________________________________________________________
__________________________________________________________
3. Despite diligent efforts exerted, the company could no longer
locate, find or recover the _____________________________________.
4. The
said _________________________________
have not
been
confiscated by any officer of the law or the issuing office or agency
due to the violation of any law, statute, order, rule or regulation.
5. In the event that ____________________________________ should
hereafter be found or located, I undertake to forward or surrender
the same to ____________________________________________.
6. I am executing this affidavit to attest the truth of the foregoing
statements and to request the issuance of a new invoice and
counter-receipt in lieu of the one which was last.
IN WITNESS WHEREOF, I have hereunto set my hand this
_______________________at________________________________________________.

____________________
Affiant

AFFIDAVIT OF LOSS

I, Isabel Tee, of legal age, single, and resident of 105 Banal St. 6th
Avenue Caloocan City, after being duly sworn according to law, hereby
depose and state that:

1. I am the Custodian of DR No. 128 with the amount of P 17, 740.80


and DR. No. 134 also with the amount of P 17, 740.80 issued for
Alexis Mktg. Inc., by Finco Sales Corp. on November 29, 2014 and
December 2, 2014 respectively at 1534 Benitez St. Malate, Manila;
2. Sometime in December 16, 2014, the above mentioned DRs were
lost under the following circumstances:
That on or about December 16, 2014 around 1am in
the morning, some unidentified men entered Finco
Sales Corp. Manila office and stole its safety box which
was placed inside said office. Inside the safety box
were invoices and counter-receipts of different
customers of Finco Sales Corp here in Manila branch
for collection. The said incident was reported to the
nearest Barangay office for blotter the following day.
3. Despite diligent efforts exerted, the company could no longer locate,
find or recover the DR No. 128 and DR No. 134, and to the best of
my knowledge, the same is truly lost.
4. The said delivery receipts has not been confiscated by any officer of
the law or the issuing office or agency due to the violation of any
law, statute, order, rule or regulation.
5. In the event that the delivery receipts should hereafter be found or
located, I undertake to forward or surrender the same to Finco Sales
Corporation for appropriate disposal.
6. I am executing this affidavit to attest the truth of the foregoing
statements and to request the issuance of a new invoice and
counter-receipt in lieu of the one which was last.
IN WITNESS WHEREOF, I have hereunto set my hand this
_______________________at________________________________________________.

____________________
Affiant

AFFIDAVIT OF LOSS

I, Isabel Tee, of legal age, single, and resident of 105 Banal St. 6th
Avenue Caloocan City, after being duly sworn according to law, hereby
depose and state that:

1. I am the Custodian of Sales Invoice Nos. 0100 and Sales Invoice


Nos. 0451 up to 0466 issued for Liberty Commercial Center
Inc., by Fanbo Industrial Co. on November 21, 2014 at 1534 Benitez
St. Malate, Manila;
2. Sometime in December 16, 2014, the above mentioned Sales
Invoices were lost under the following circumstances:
That on or about December 16, 2014 around 1am in
the morning, some unidentified men entered Fanbo
Industrial Co. Manila office and stole its safety box
which was placed inside said office. Inside the safety
box were invoices, counter-receipts and sales invoices
of different customers of Fanbo Industrial Co. here in
Manila branch for collection. The said incident was
reported to the nearest Barangay office for blotter the
following day.
3. Despite diligent efforts exerted, the company could no longer locate,
find or recover the Sales Invoice Nos. 0100 and Sales Invoice
Nos. 0451 up to 0466, and to the best of my knowledge, the same
is truly lost.
4. The said Sales Invoices has not been confiscated by any officer of
the law or the issuing office or agency due to the violation of any
law, statute, order, rule or regulation.
5. In the event that the Sales Invoices should hereafter be found or
located, I undertake to forward or surrender the same to Fanbo
Industrial Co. for appropriate disposal.
6. I am executing this affidavit to attest the truth of the foregoing
statements and to request the issuance of a new invoice and
counter-receipt in lieu of the one which was last.
IN WITNESS WHEREOF, I have hereunto set my hand this
_______________________at________________________________________________.

____________________
Affiant

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