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PROVINCE OF BATANGAS ) S. S.
CITY OF TANAUAN )
AFFIDAVIT OF LOSS
2. On February 24, 2017 around three oclock in the afternoon, fire ensued
in our community causing damage and destruction to houses including my house;
3. Said fire burnt and destroyed all my personal and family belongings,
including but not limited to:
ELENITA C. CULANG
Affiant
HEART C. LERO
Public Attorney I
Pursuant to R.A. 9406