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AFFIDAVIT OF LOSS
2. I have recently discovered the said item is irretrievably lost and can no longer
be found despite diligent efforts to locate the same;
3. I execute this affidavit to attest to the truth of the foregoing and to request the
same original copy of Certificate Authorizing Registration (CAR) no.
CAR2013 00449201 from the said office.
SUBSCRIBED and SWORN TO before me on the date and at the place indicated below.
Notary Public
Doc. No.___
Page No.___
Book No.___
Series of 2017.