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    Joint Affidavit of Two Disinterested Persons Re: Date/Place of Death

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    MEL JUN DIASANTA
    This joint affidavit from Mark Winston F. Ortillo and Panfilo E. Biong, Jr. attests to the death of Renato C. Bacang. They state that they knew Bacang from working together at AQUALINE CONSTRUCTION. On March 19, 2016, while working as a welder in San Jose, Tacloban City, Bacang had an accident and died from electrocution at Tacloban Doctor's Hospital the same day. The affidavit serves to confirm the facts of Bacang's death.

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    Joint Affidavit of Two Disinterested Persons Re: Date/Place of Death

    Uploaded by

    MEL JUN DIASANTA
    292 views1 page
    This joint affidavit from Mark Winston F. Ortillo and Panfilo E. Biong, Jr. attests to the death of Renato C. Bacang. They state that they knew Bacang from working together at AQUALINE CONSTRUCTION. On March 19, 2016, while working as a welder in San Jose, Tacloban City, Bacang had an accident and died from electrocution at Tacloban Doctor's Hospital the same day. The affidavit serves to confirm the facts of Bacang's death.

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    death

    Original Title

    Affidavit of Death

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    This joint affidavit from Mark Winston F. Ortillo and Panfilo E. Biong, Jr. attests to the death of Renato C. Bacang. They state that they knew Bacang from working together at AQUALINE CONSTRUCTION. On March 19, 2016, while working as a welder in San Jose, Tacloban City, Bacang had an accident and died from electrocution at Tacloban Doctor's Hospital the same day. The affidavit serves to confirm the facts of Bacang's death.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    292 views1 page

    Joint Affidavit of Two Disinterested Persons Re: Date/Place of Death

    Uploaded by

    MEL JUN DIASANTA
    This joint affidavit from Mark Winston F. Ortillo and Panfilo E. Biong, Jr. attests to the death of Renato C. Bacang. They state that they knew Bacang from working together at AQUALINE CONSTRUCTION. On March 19, 2016, while working as a welder in San Jose, Tacloban City, Bacang had an accident and died from electrocution at Tacloban Doctor's Hospital the same day. The affidavit serves to confirm the facts of Bacang's death.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    REPUBLIC OF THE PHILIPPINES)

    Province of Eastern Samar ) S.S.


    Municipality of Balangiga
    )
    x-----------------------x

    JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS


    RE: DATE/PLACE OF DEATH
    We, MARK WINSTON F. ORTILLO and PANFILO E. BIONG, JR, both
    of legal ages, Filipinos, and residents of Barangay 03, Nula-Tula, Tacloban City
    and Barangay Sta. Rosa, Balangiga, E. Samar, respectively, after having been
    duly sworn to in accordance with law, do hereby depose and state the
    following:
    That we personally know the late Renato C. Bacang because we were
    employees of AQUALINE CONSTRUCTION;
    That we also know for a fact that said Renato C. Bacang while doing
    his job as a welder of the company in Brgy. Manlurip, San Jose,
    Tacloban City, Leyte last March 19, 2016 met an accident;
    We likewise have knowledge that said Renato C. Bacang died on that
    same day (March 19, 2016) while undergoing treatment for
    electrocution at Tacloban Doctors Hospital, Tacloban City, Leyte;
    That we are executing this affidavit to attest to the truthfulness of the
    fact of death of the person of Renato C. Bacang and for whatever
    legal purposes that this statement may serve.
    IN WITNESS WHEREOF, we have hereunto set our hands this 21 st day
    of June, 2016 at Balangiga, E. Samar, Philippines.
    Mark Winston F. Ortillo
    AFFIANT
    TIN NO. 454-309-299

    Panfilo E. Biong, Jr.


    AFFIANT
    UMID CRN:0111-1619486-7

    SUBSCRIBED AND SWORN to before me this 21st day of June, 2016


    at Balangiga, E. Samar, Philippines, affiants exhibited to me their proofs of
    identity shown above.

    Doc. No._____;
    Page No._____;
    Book No. IV;
    Series of 2016.

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