Republic of the Philippines)

Sarangani Province ) S.S.

x-----------------x

AFFIDAVIT OF ASSUMPTION OF RESPONSIBILITY WITH

UNDERTAKING

I, JOHN ANTHONY BARDINAS, of legal age, Filipino, married and a

resident of Brgy. Ladol, Alabel, Sarangani Province, Philippines, after having
duly sworn to in accordance with law, hereby depose and say that:

1. I am connected with the Provincial Government of Sarangani specifically

under the Provincial Legal Office as Administrative Aide IV, designated as
Supply Officer;

2. As property custodian and supply officer I undertake to assume

responsibility and accountability of the below mentioned itemized
properties ;

UNIT ITEM DESCRIPTION PN AMOUNT TOTAL

1 1 unit Binding Machine, TTA 24 holes HD 9818 14,000.00 14,000.00
Calculator, Pocket electronic 12
2 1 unit 1,170.00 1,170.00
digits scientific, casio FX 9928
3 1 unit Paper Cutter. HD Big 24 inches 0793 2,135.00 2,135.00
4 1 vol. Speaker Logitech s-150
Law Book, Remedial Law Vol. IV c/b
5 1 vol. 9245 1,315.00 1,315.00
2003, Herrera
6 1 unit Philip. Political Law by Cruz 1993 306.00 306.00
 Edition
Casette Tape Recorder, Sony, 2 way
7 1 unit 7942 3,500.00 3,500.00
speaker, 430-S Micro sensitive Type
DVD/VCD, Samsung brand Model:
8 1 unit 11732 2,945.00 2,945.00
DVDp191 & SN#D6416CM601009
TOTAL 25,371.00

3. I am executing this affidavit to attest to the veracity of the foregoing facts

and for whatever legal purpose this may served best.

IN WITNESS WHEREOF, I have hereunto set my hand this 16 th day of

November 2016 at Glan, Sarangani Province, Philippines.

JOHN ANTHONY BARDINAS

Affiant
Employees No.

SUBSCRIBED AND SWORN to before me this 16 th day of November 2016

in Glan, Sarangani Province, Philippines.

Doc. No. ________;

Page No. ________;
Book No.________;
Series of 2016.