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AFFIDAVIT

I, De Guia, Milton I._ of legal age of 37, Filipino, married and a resident of 4566
V. Francisco St, Sta Mesa, Manila, after first being duly sworn to in accordance with law,
do depose and say:
That the company car temporarily issued to me by Sony Philippines,Inc. with details
below , and more particularly described as follows:
MAMAKE/TYPE: MITSUBISHI ADVENTURE
MV FILE NO:
ENGINE NO:
CHASSIS NO.:
PLATE NO.: PBI - 232
That on the day of 7:30 am, while on my way to office, I was about to leave our house,
upon seeing the car parked on the street of our barangay, (overnight) I noticed that my
bumper fell on the ground as if something bump on it, but as I ask my neighbors and
street sweepers, they didnt noticed the said incident.
That I am executing this affidavit in order to attest to the truth of the foregoing facts and
for whatever purpose this may serve.
In witness whereof, I have hereunto set forth my hand this 21st day of July 2011 at
Paranaque City Philippines.

Lexter D. Espiritu
(Affiant)
SUBSCRIBED and SWORN to before me this 21st day of July 2011, in
Paranaque City, affiant exhibiting his Community Tax Certificate No.00544353
issued at Paraaque City_, Philippines on 072111
Doc. No. __________
Page No. __________
Book No. _________
Series of 2011

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