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REPUBLIC OF THE PHILIPPINES )

_____________________________ ) SS.

AFFIDAVIT OF SERVICE

I, _________________ , of legal age, Filipino, single, and with residence at


_____________________, after having been duly sworn in accordance with law, do hereby
depose and state THAT:

1. On 7 August 2017, I served copies of the following Pleading/Paper:

PETITION FOR REVIEW


WITH PRAYER FOR THE ISSUANCE
OF WRIT OF PRELIMINARY INJUNCTION AND/OR
A TEMPORARY RESTRAINING ORDER

In the case entitled ____________________________, by registered mail with return card in


accordance with Rule 13 of the Rules of Civil Procedure, as follows:

Copy Furnished:

Public Attorneys Office


Counsel for Appellee
2nd Floor Lores County Plaza
Barangay San Roque, Antipolo City
Registry Receipt No. ______________________

2. I deposited copies thereof in the post office of __________________, as


evidenced by the foregoing Registry Receipt Nos. hereto attached and indicated after
the name/s of the addressee/s, and with instructions to the postmaster to return the
mail to the sender after ten (10) days, if undelivered.

AFFIANT FURTHER SAYETH NAUGHT.

7 August 2017. _____________________

___________________________
Affiant

SUBSCRIBED AND SWORN to before me this 7 August 2017 at _____________.


Affiant exhibited to me his _________________.

NOTARY PUBLIC

Doc. No. ______;


Page No. ______;
Book No. ______;
Series of 2017.