REPUBLIC OF THE PHILIPPINES

AFFIDAVIT OF SERVICE
(Revised as of April 1992)

I, ________________________, __________________ OFFICE OF THE SOLICITOR GENERAL ,

with Office address at 134 Amorsolo St., Legaspi Village Makati City, after being sworn to depose and say:

That on 07/06/2018 , I caused to be served a copy of the following pleading/paper:

NATURE OF THE PLEADING

Delegation

In case No. CAD CASE NO.15/LRC , entitled SPS. LIBERATO D. CALUMBIRAN AND ELENA M.
VS. LRA, QUEZON CITY AND THE REGISTRY OF DEEDS OF PROV. OF ANTIQUE

pursuant to Section 3,4,5 and 10, Rule 13 of the Rules of Court, as follows:

By Personal Service To: ( ) By depositing a copy to the party or his/her attorney

on __________ as shown on p _______.
( ) By leaving a copy in his/her clerk or with a person
having charge thereof on _________ as shown on p
________.
( ) By delivering a copy to the Court/Tribunal Office on
__________ as shown on p _______.
By Registered Mail To: ( ) By depositing copy on ___________ in the Post
Office at _________ as evidenced by Registry
Regional Trial Court
Receipt(s) No.(s) __________ hereto attached and
Sixth Judicial Region, indicated after the name (s) of the addresse(s), and
Branch 10,
with instruction to the postmaster to return the mail to
San Jose, Antique, , Philippines
the sender after (10) days if undelivered.
Hon. Office of the City/ Provincial Prosecutor

Hall of Justice, San Jose, Antique, , Philippines

Atty. Alexis C. Salvani

A.C. SALVANI LAW OFFICES
Room 3, 2nd Floor, D.E. & T. Bldg., Villavert St.,
San Jose, Antique, , Philippines

Makati, Metro Manila, Phililippines

(Affiant)

SUBSCRIBED AND SWORN to before me this __________________ of _______________ at Makati

City, Philippines. Affiant exhibiting to me his _________________________________ issued at Pasay City.

Solicitor, Officer Administering the Oath

18-015888-0004 Office of the Solicitor General