Professional Documents
Culture Documents
2. That we affirm and confirm that he died last Feb. 07, 1964 in
Catbalogan City, Samar, but we do not know the cause of her death
for lack of knowledge in medical science;
3. That his death was not duly recorded properly due to the negligence
of her surviving heirs;
4. That we have seen his body and were present when he was buried;
IN WITNESS WHEREOF, we have hereunto set our hands this ____ day of
May 2018 in the City of Catbalogan, Samar.
SUBCRIBED AND SWON TO before this _____day of May, 2018 in the City of
Catbalogan, Samar.