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Verdejo

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adnanpamplona4
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7 views1 page

Verdejo

Uploaded by

adnanpamplona4
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Republic of the Philippines)

Province of Zambales )S.S


Municipality of Iba )

AFFIDAVIT

I, LOURDES B. VERDEJO, of legal age, single and a resident of Salaza,


Palauig, Zambales, after having been duly sworn to in accordance with law
depose and say:

1. That I am the sister of the late CRISOSTOMO BALANGON SR.;

2. That he died last 14 August 1998 at Palauig, Zambales;

3. That his remain was buried at Palauig Public Cemetery;

4. That I am executing this affidavit to attest the truthfulness of all


foregoing statements and for whatever legal purposes this may
serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


____ day of __________, 2016 at Iba, Zambales.

LOURDES B. VERDEJO
Affiant

SUBSCRIBE AND SWORN TO before me this ______ day of ________,


2016 at Iba, Zambales. Affiant exhibited to me his/her Senior Citizen ID No.
7147 issued at Palauig, Zambales.

Doc. No. _____;


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

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