Professional Documents
Culture Documents
AFFIDAVIT OF LOSS
I, SUSAN P. GRIMM, of legal age, married, Filipino, and presently residing at
No. 120 H Echo St., Binictican Drive, Subic bay Freeport Zone, Philippines, after having
duly sworn to in accordance with law, hereby depose and state, that:
1.
2.
3.
4.
Despite diligent effort to locate the same, all efforts proved fruitless as up
to the present and fear that the same has been lost beyond recovery; and
5.
SUSAN P. GRIMM
- Affiant SUBSCRIBED AND SWORN to before me this 22nd day of January 2014 at
Subic Bay Freeport Zone. Affiant exhibited to me her LTO Non-Professional Drivers
License No. C13-95-022380 as proof of her personal identification.
Doc No.: 127;
Page No. 27;
Book No.
1;
Series of 2014.