Republic of the Philippines)

CITY OF DAVAO . . . . . ..)S.S.

X ----------------X
AFFIDAVIT
WITH CORROBORATING STATEMENT

I, AMANDA INACAT BALA-GERALDO, of legal age, Filipino, Widow and a

resident of 978 Trading Blvd., Davao City, Philippines, after being sworn to law, depose and say:
That I am applicant for my delayed registration of our MARRIAGE CONTRACT;
CERTIFICATE OF MARRIAGE
Husband
Name:
SALVADOR LIPORGO GERALDO
Date of Birth:
January 14, 1914
Age: 26
Place of Birth: Carcar, Cebu
Sex:
Male
Citizenship:
Filipino
Residence:
Pantukan, Comval Prov.
Religion:
Catholic
Civil Status:
Single
Name of Father: Vicente Geraldo
Citizenship:
Filipino
Name of Mother: Narcisa Liporgo
Citizenship:
Filipino
Person who gave
consent/advice:

Wife
AMANDA INACAT BALA
July 12, 1922 Age: 18
Mati, Davao Oriental
Female
Filipino
Pantukan, Comval Prov.
Catholic
Single
Hilario Bala
Filipino
Marcelina Inacat
Filipino

Relationship:
Residence:

Primo Valmonte
God Father
Pantukan, Comval Prov.

Beatriz Caral
God Mother
Pantukan, Comval Prov.

Place of Marriage:
Date of Marriage:
Solemnized by:

San Jose Parish, Pantukan, Comval Province,

June 9, 1940
Fr. Paul Emile Lahaye (Parish Priest).

That our Marriage Contract was registered in the Office of Local Civil Registrar of
Pantukan, but our Marriage Contract was destroyed during World War II;
That I am executing this affidavit to attest to the fact and to inform the proper authorities
concerned and for whatever legal purposes this may serve.

IN WITNENESS HEREOF, I have hereunto affixed my signature this _____ day of

_______________, 2009 at Davao City, Philippines.

AMANDA INACAT BALA-GERALDO

Affiant

-2CORROBORATING STATEMENT

We, CONSUELO C. PASTOR and ZENAIDA S. MONGAO, both of legal age, Filipinos,
and a resident of Davao City, respectively, do hereby declare under oath:
That we personally know the spouses SALVADOR LIPORGO GERALDO and
AMANDA INACAT BALA, to be true and correct to the best of our knowledge and belief,
having personally known their since their marriage on June 9, 1940;
Signed this ______ day of ____________, 2009 at Davao City, Philippines.

CONSUELO C. PASTOR
Affiant
CTC No. 12864632
Issued on: 01-06-09
At: Davao City

ZENAIDA S. MONGAO
Affiant
CTC No. 17727873
Issued on: 04-29-09
At: Davao City

SUBSCRIBE AND SWORN TO before me this ______ day of ____________, 2009 at

Davao City, Philippines.
Doc. No. ______;
Page No. ______;

Book No. ______;

Series of 2009