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AFFIDAVIT OF LOSS OF MARRIAGE CONTRACT

REPUBLIC OF THE PHILIPPINES)


CALAMABA CITY, LAGUNA }S.S.

I, FRANCIA ESTEVEZ VALENCIA, Filipino, of legal age, married


and resident of Barangay Mayapa, Calamba City, Laguna, after being sworn
in accordance with law, depose and say:

THAT sometime on June 20, 1962, my parents LOLITA SILO and


CESAR ESTEVEZ entered into a MARRIAGE CONTRACT at Pasig City;

THAT the original copy of said MARRIAGE CONTRACT was lost


inside our house and cannot be located despite diligent efforts, hence
considered lost;

THAT my mother died last September 2, 2002 at Las Pinas Medical


Center, Las Pinas City due to “CARDIAC EMPHYSEMA;”

THAT during the lifetime of my mother, she was a member of the


SSS, SSS No. 04-0436989-7, Xerox copy is attached and made an integral
part of this affidavit of loss;

THAT I am executing this affidavit to attest to the truthfulness of the


above-stated facts for the SOCIAL SECURITY SYSTEM grant of pension
to my father CESAR ESTEVEZ and for whatever lawful purpose it may
serve.

MRS FRANCIA ESTEVEZ VALENCIA


Affiant

SUBSCRIBED AND SWORN TO before me this 24th day of


September 2001, at Calamba City, Laguna, Philippines, Affiant exhibiting to
me her Community Tax Certificate No. 02902719 issued at Calamba City,
Laguna on January 2, 2001.

ATTY. GREGORIO E. MAUNAHAN


Notary Public
Until December 31, 2001
PTR NO. 4885838, 1-02-2001, Calamba, Laguna
IBP LIFETIME Roll No. 1404, Pasig City

Doc No. 628;


Page No. 26;
Book No. IX;
Series of 2001.

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