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Republic of the Philippines)

Butuan City )S.S.

AFFIDAVIT OF WITNESS

I, __________, Filipino, of legal age, and a resident of 9 th Street


Guingona Subdivision, Butuan City.

1. That I executed this affidavit to witness what was really happened


on February 1, 2016 at about 10am at the house of ________.

2. That I was present during that time because I was in the house of
______________.

3. That it is not true that ______________. uttered the words:

a. “______________.!”; and
b. “______________.!”

4. In fact it was ______________. who threatened the family of


______________., by saying the words: “______________.!” while
carrying an axe and stoning the house of ______________..

5. I also testify that it was the mother of ______________. who


attacked ______________. by grabbing her hair, slapped her face and
wrestled her, hence a commotion followed. In fact I learned that FLORIE
______________. filed a case against her.

6. That I am executing this affidavit to attest the truth of the foregoing


facts.

IN WITNESS WHEREOF, I have hereunto set my hand this 27th day


of July 2016 at ______________. City, Philippines.
______________.
Employee No. ______________.
Affiant

Subscribed and sworn to before me this 27 th day of July 2016 at the


City of ______________., Philippines.
 

Doc. No.____
Page No. _____
Book No. _____
Series of 2016.

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