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Republic of the Philippines )

City of Tagbilaran ) S.S.


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AFFIDAVIT OF PERSONAL USE

I, MARILOU G. ACLON, of legal age, Filipino, married, and a


resident of New Capitol Site, Tagbilaran City, Bohol, Philippines, after having been
duly sworn in accordance with law, hereby depose and state, that:

1. I am the transporter of the following items listed below;

2. That the items listed are certified true and correct:


a. 69 pcs. of lumber/timber/etc. with a volume of 1.01 cu./430.8 board
feet of Mahogany and Gemelina.

3. That the same are to be transported from Moto Sur, Loon, Bohol to
Taloto, Tagbilaran City on August 13-14, 2019;

4. That I am the authorized claimant of the listed items above and it is


for personal usage/consumption only and not for commercial purposes;

5. I am executing this affidavit to attest to the truth of the foregoing and


for any legal purpose that this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 13 August 2019


at Tagbilaran City, Philippines.

MARILOU G. ACLON
Affiant
UMID No. 0006-2553316-9

SUBCRIBED AND SWORN TO before me this 13 August 2019 at


Tagbilaran City, Philippines, affiant exhibiting to me her valid proof of
identification.

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2019.

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