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AFFIDAVIT OF LOSS
I, AURORA B. BAUTISTA, 67 years old, Filipino citizen, married and a
resident of Barangay Surgui 3rd, Camiling, Tarlac, Philippines, after having been
duly sworn to in accordance with law, do hereby depose and state THAT:
3. All efforts exerted to locate the said cardholder and its contents proved
futile; hence, I now consider them as lost and beyond recovery;
AURORA B. BAUTISTA
Affiant
Doc. No.:_______;
Page No.:_______;
Book No.:_______;
Series of 2017.