You are on page 1of 3

REPUBLIC OF THE PHILIPPINES )

CITY OF BATAC ) S.S.


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

AFFIDAVIT OF SERVICE

I, MACK DONALDS, of legal age, Filipino, single and a resident of


Brgy. Aglipay, Batac City, Ilocos Norte, after having been duly sworn to in
accordance with law, depose and state:

1. That I am employed as a messenger of Batac City Postal Office


located at National Highway, Quiling Norte, Batac City, Ilocos Norte;

2. That on January 10, 2017, I served a copy of the following letter-


request by personal service in accordance with Sec. 6 of Rule 13 of
the Rules of Court:

Nature of Letter-Request

An invitation for the


Psychological examination
Of Malyn Fernandez

in relation to Civil Case No. 1234-17 entitled "TYRONE DIEGO VS.


MALYN FERNANDEZ" by personally handing the letter to Malyn
Fernandez in her residence in Brgy. Caunayan, Batac City, Ilocos Norte
as evidenced by Registry Receipt No. 1111 attached herein and with
instructions to the post master to return the mail to sender after ten (10)
days if undelivered.
IN WITNESS WHEREOF, I have hereunto set my hand this 13th
day of January 2017 in Batac City, Ilocos Norte, Philippines.

MACK DONALDS
Affiant

SUBCRIBED AND SWORN TO before me this 13th day of January


2017 in Batac City, Ilocos Norte affiant exhibiting to me his Drivers
License No. 1234567 issued by LTO-Batac valid until June 20, 2018.

CLAUDETTE DE LARA
Counsel for the Petitioner
Roll No. 24680/05.07.2014
IBP No. 0990123/01.05.16/Ilocos Norte
PTR No. 2468123/01.06.16/
Batac City, Ilocos Norte
MCLE Compliance No.
V-0003456/03.26.15/Manila
Doc. No. 143;
Page No. 143;
Book No. 143;
Series of 2017.

You might also like