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Republic of the Philippines )

Province of Leyte
) SS
City of Tacloban
)

JOINT AFFIDAVIT RE:

CHANGE OF ENGINE & BODY


We, MARGARITA T. ZUASULA, of legal age, Filipino, married and a
resident of B9 L2 P3 Area 7, V&G Subd., Tacloban City, and PEDRO B.
BEYONG, of legal age, Filipino, married and proprietor of BERAL AUTO REPAIR
SHOP at Brgy. 85, San Jose, Tacloban City, after being first sworn according to
law, do hereby depose and state: THAT--The first party is the owner of a motor vehicle/multicab, and particularly
described as follows:
MAKE/TYPE
ENGINE No.
SERIAL/CHASSIS No.
PLATE No.
COLOR
Cert. of Registration

:
:
:
:
:
:

SUZUKI JITNEY (UV-hire)


F5A-2757975
DA71T-322151
HVM-787 (formerly GKD-850)
GREEN
74001194 dtd 10-16-03

On 8 May 2006, the first party engaged the services of BERAL AUTO
REPAIR SHOP, managed by the second party, to change/replace the motor
engine bearing Motor No. 2757975 with a new motor engine with Motor No.
F6A-5326029, purchased from GCY Parts Center, Cebu City, under Invoice No.
4004 dated 22 May 2006, and supported by a Certification of Stock Reported
No. 0828854-6 issued by LTO dated 27 June 2006 on the Certificate of
Payment No. 08690281 made to the Bureau of Custom; said certification was
paid under LTO OR No. 368599044 issued on same date.
Furthermore, the first party engaged the services of the second party to
rebuild the said multicab from pick-up to jitney (8-seaters).
The job is now finished.
This affidavit is executed to attest to the truth of the above facts the
purpose of recording the CHANGE OF ENGINE and BODY with the proper
government authorities and for whatever legal purposes this may serve.
IN WITNESS WHEREOF, we have hereunto set our hands this 15 July
2006 at Tacloban City, Philippines.
MARGARITA T. ZUASULA

PEDRO B. BEYONG

SUBSCRIBED AND SWORN to before me this 15 July 2006 at Tacloban


City, affiants exhibiting to me their respective CTC No. 01959736 & 02015114
issued on 1-11-06 and 6-2-06 at Tacloban City, Philippines.
Doc. No. 230
Page No. 46
Book No. 50
SERIES OF 2006

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