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    Affidavit of Loss: 'Affiant Further Sayeth Naught

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    ATRIYO ENTERPRISES
    Madelyn B. Alvixo, owner of Monique Miracle Fruit Juice in Trento, Agusan del Sur, Philippines, executed an affidavit stating that: (1) she lost booklet #25 containing receipts 1201-1250 due to negligence; (2) despite searching, she was unable to find the lost booklet; (3) she signed the affidavit to attest to these facts. The affidavit was sworn on September 17, 2019 in San Francisco, Agusan del Sur.

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    Affidavit of Loss: 'Affiant Further Sayeth Naught

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    ATRIYO ENTERPRISES
    106 views1 page
    Madelyn B. Alvixo, owner of Monique Miracle Fruit Juice in Trento, Agusan del Sur, Philippines, executed an affidavit stating that: (1) she lost booklet #25 containing receipts 1201-1250 due to negligence; (2) despite searching, she was unable to find the lost booklet; (3) she signed the affidavit to attest to these facts. The affidavit was sworn on September 17, 2019 in San Francisco, Agusan del Sur.

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    receipt

    Original Title

    RECEIPT -ALVIZO, MADELYN B.

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    Madelyn B. Alvixo, owner of Monique Miracle Fruit Juice in Trento, Agusan del Sur, Philippines, executed an affidavit stating that: (1) she lost booklet #25 containing receipts 1201-1250 due to negligence; (2) despite searching, she was unable to find the lost booklet; (3) she signed the affidavit to attest to these facts. The affidavit was sworn on September 17, 2019 in San Francisco, Agusan del Sur.

    Copyright:

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

    Affidavit of Loss: 'Affiant Further Sayeth Naught

    Uploaded by

    ATRIYO ENTERPRISES
    Madelyn B. Alvixo, owner of Monique Miracle Fruit Juice in Trento, Agusan del Sur, Philippines, executed an affidavit stating that: (1) she lost booklet #25 containing receipts 1201-1250 due to negligence; (2) despite searching, she was unable to find the lost booklet; (3) she signed the affidavit to attest to these facts. The affidavit was sworn on September 17, 2019 in San Francisco, Agusan del Sur.

    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 ]

    San Francisco, Agusan del Sur ]S.S

    AFFIDAVIT OF LOSS

    I, MADELYN B. ALVIZO of legal age, Filipino citizen, married with residence


    at Trento, Agusan del Sur, Philippines, after having been sworn in accordance with law,
    do hereby depose and say:

    1. That I am same person who executed this affidavit;

    2. That I am the proprietor/ proprietress of MONIQUE MIRACLE FRUIT


    JUICE with business address at P-3, Poblacion, Trento, Agusan del Sur;

    3. That the said business is registered with the Bureau of Internal Revenue
    [BIR] Office with TIN No.:272-185-925-000;

    4. That the Booklet No. 25 series 1201-1250 of the above-mentioned business


    was lost due to negligence;

    5. That despite diligent effort exerted to search for it, the same could no
    longer be found;

    6. That I am executing this affidavit to attest the truth of the foregoing facts
    and statements.

    `AFFIANT FURTHER SAYETH NAUGHT.

    IN WITNESS WHEREOF, I have hereunto set my hand this September 17, 2019
    at San Francisco, Agusan del Sur.

    MADELYN B. ALVIZO
    Affiant

    SUBSCRIBED AND SWORN to before me this September 17, 2019 at San


    Francisco, Agusan del Sur.

    Doc. No. ____


    Page No. ____
    Book No. ____
    Series of 2019

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