Republic of the Philippines )

Municipality of Liloan, Cebu )S.S.

AFFIDAVIT OF CHANGE BODY

I, Herbert P. Esler representing CEBUANA LOGISTICA, INC., a corporation

duly organized and existing under the laws of the Philippines, with principal place of
business at L4 B4 Villa Ventura Subd., Bagong Dan, Yati, Liloan, Cebu, Philippines, after
having been duly sworn to in accordance with law do hereby depose and say;

That I, Herbert P. Esler, owner of one (1) unit Mitsubishi Fuso Canter more
particularly described as follows:

Make/Type : Mitsubishi FUSO

Year/Model : Canter
Certificate of Registration No. : 24493059
Official Receipt No. :
Plate No. : GEU-601
Chasis No. : FE335EV-410553
Engine No. : 4D32-568984

That I am going to change the body type of the above mentioned vehicle from
DROPSIDE to CLOSED VAN.

That I contacted the services of Rolly L. Banac, a welder/mechanic by profession

to undertake the job of changing the side of the vehicle above-mentioned;

That I am executing this affidavit to comply with the requirements of the LTO and
for whatever legal purpose it may serve;

IN WITNESS WHEREOF, I have hereunto set my signature this ___ day of

________ 2015 at Liloan, Cebu, Philippines.

Owner: Contractor:

__________________ ___________________

SUBSCRIBED AND SWORN to before me this __________, 2015 at Liloan,

Cebu, Philippines. Affiant who is personally known to me presented her Community Tax
Certificate # 07582761 issued at Liloan, Cebu on Jan. 08, 2015.

Doc No. ___;

Page No. ___;
Book No. ___;
Series of 2015.