REPUBLIC OF THE PHILIPPINES)

LAS PIAS CITY )S.S.

AFFIDAVIT OF LOSS

I, CONCHITA CADIZ, of legal age, Filipino, and resident of #18

Amethyst St., Las Pinas Royale Estates, Pulanglupa Dos, Las Pinas City, after
being duly sworn to in accordance with law, hereby depose and say that:

On February 13, 2014, I pawned with Cebuana Lhuiller pawnshop one

(1) necklace under pawn ticket no. 9959, in the sum of PHP 20,000, with
maturity date March 17, 2014 and expiry date on June 16, 2014.

2. I was issued a pawn ticket by the said pawnshop.

3. Said pawn ticket or pledge certificate was inadvertently lost.

4. Inspite of diligent search effort to look for said pawn ticket, all such
effort proved in vain, thus I am now declaring the loss of said pawn ticket.

5. I never sold, alienated conveyed or pledged the said receipt or pawn

ticket or pledge certificate in favor of any person and I hereby release the
said Pawnshop from any liability and hold myself liable should any third
person claim ownership over the said pawned article.

6. I am executing this affidavit to attest to the truth of the foregoing

facts and for all its legal intents, effects, consequences and purposes,
including to redeem or renew said pledge.

CONCHITA CADIZ
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, this March 13, 2014

at Las Pinas City.

Doc. No. 75
Page No. 16
Book No. 80
Series of 2014.
REPUBLIC OF THE PHILIPPINES)
LAS PIAS CITY )S.S.

AFFIDAVIT OF LOSS

I, EDGAR DALMAN, of legal age, Filipino, and resident of Block 4 Lot

12, Phase 2, Vallejo Place, Imus, Cavite, Las Pinas City, after being duly
sworn to in accordance with law, hereby depose and say that:

I pawned with Cebuana Lhuiller pawnshop the following:

Item PT No. Amount Expiry Date

Necklace 60605SG71 PHP 8,400 12/9/2013

Necklace w/pendant 60605SG5271 6,570 12/9/2013
College ring 60605SG5481 4000 3/3/2014
College ring 60605SG5510 4000 3/14/2014

2. I was issued a pawn tickets by the said pawnshop.

3. Said pawn tickets or pledge certificates were inadvertently lost.

4. Inspite of diligent search effort to look for said pawn tickets, all such
effort proved in vain, thus I am now declaring the loss of said pawn tickets.

5. I never sold, alienated conveyed or pledged the said receipts or

pawn tickets or pledge certificates in favor of any person and I hereby
release the said Pawnshop from any liability and hold myself liable should
any third person claim ownership over the said pawned article.

6. I am executing this affidavit to attest to the truth of the foregoing

facts and for all its legal intents, effects, consequences and purposes,
including to redeem or renew said pledge.

EDGAR DALMAN
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, this March 12, 2014

at Las Pinas City.

Doc. No. ___

Page No. ___
Book No. ___
Series of 2014.
REPUBLIC OF THE PHILIPPINES)
LAS PIAS CITY )S.S.

AFFIDAVIT OF LOSS

I, ANGELITA OCAMPO, of legal age, Filipino, and resident of Block 1

Lot 50, Abel Nosce St., Veraville, BF Resort Village, Las Pinas City, after
being duly sworn to in accordance with law, hereby depose and say that:

1. On January 16, 2014, I pawned with CVM pawnshop the following:

Item PT No. Amount Expiry Date

Samsung Tab P3100w/charger 4006 5500
IPAD 2 wifi A1335 w. charger 4007 5000

2. I was issued a pawn tickets by the said pawnshop.

3. Said pawn tickets or pledge certificated were inadvertently lost.

4. Inspite of diligent search effort to look for said pawn tickets, all such
effort proved in vain, thus I am now declaring the loss of said pawn tickets.

5. I never sold, alienated conveyed or pledged the said receipts or

pawn tickets or pledge certificates in favor of any person and I hereby
release the said Pawnshop from any liability and hold myself liable should
any third person claim ownership over the said pawned article.

6. I am executing this affidavit to attest to the truth of the foregoing

facts and for all its legal intents, effects, consequences and purposes,
including to redeem or renew said pledge.

By:
ANGELITA OCAMPO
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, this February 21,

2014 at Las Pinas City.

Doc. No. ___

Page No. ___
Book No. ___
Series of 2014.