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REPUBLIC OF THE PHILIPPINES)

CITY OF ______________________)

AFFIDAVIT OF SERVICE

That, _____________________________, of legal age, Filipino and a resident of


__________________________________, after having duly sworn in accordance with law,
do depose and state:

1. That I am the _____________________, of Philippine Pharma Procurement,


Inc. (PPPI) with office address at 2F NDC Building, 116 Tordesillas St.,
Salcedo Village, Makati City;

2. That on 15 December 2017, I served the copies of Petition for Review entitled
“PHILIPPINE PHARMA PROCUREMENT, INC. vs. BUREAU OF
INTERNAL REVENUE, REPRESENTED BY COMMISSIONER CEASAR
E. DULAY”, due for filing with the Court of Tax Appeals, thru
LBC/Registered Mail to:

HON. CAESAR R. DULAY ____________________________


Commissioner of Internal Revenue At: ________________________
Room 511, BIR National Office Building
BIR Road, Diliman, Quezon City 1101

THE OFFICE OF THE SOLICITOR GENERAL


134 Amorsolo St, Legaspi Village _____________________________
Makati City 1229 At: __________________________

3. That I am executing this affidavit to attest to the truth of all the foregoing
statements.

IN WITNESS WHEREOF, I have hereunto set my hand this 15th day of December
2017 at ________________________________.

___________________________
Affiant

SUBSCRIIBED AND SWORN TO before me this 15th day of December 2017 at


_____________________, Affiant exhibited to me his Government Issued ID
________________________________ as competent evidence of his identity.

Doc. No. _______;


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

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