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REPUBLIC OF THE PHILIPPINES)

Tagbilaran City ) S.S

AFFIDAVIT
I, ANNALYN SUSON REVILLES, Filipino, of legal age, married,
and a resident of Prk 7, Sitio Cacao, Brgy. San Isidro, Talibon, Bohol,
Philippines, do hereby depose and say that:

1. I am the CCTV Operator of STARLITE MARINE INDUSTRIAL


INCORPORATED, a corporation duly organized and existing under the
laws of the Philippines;

2. That an unremitted terminal fee stub worth Php20,000.00 was


under my possession however I failed to account it;

3. I promised to pay the above-mentioned amount on or before


March 5, 2020;

4. That I execute this affidavit voluntarily to attest to the truth of


the foregoing statements and for all legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature on


this _____________ in the City of Tagbilaran, Province of Bohol,
Philippines.

ANNALYN SUSON REVILLES


Affiant
CRN: 0111-4258172-9
Issued by UMID

SUBSCRIBED AND SWORN to before me this


_______________in the City of Tagbilaran, Bohol, Philippines.
REPUBLIC OF THE PHILIPPINES)
Tagbilaran City ) S.S

AFFIDAVIT
I, MAY ANNE OCIO GENOVIA, Filipino, of legal age, married,
and a resident of 018 Kahayag Poblacion, Maribojoc, Bohol,
Philippines, do hereby depose and say that:

1. I am the supervisor of Starlite Marine Industrial Services, Bohol


branch, a domestic corporation duly organized and existing
under the laws of the Philippines;

2. There is an unremitted Terminal Fee Stubs worth P2,000,000.00


that is under my possession which I cannot account;

3. That I promise the above-mentioned company to pay the said


amount within EIGHT (8) Years with a monthly payment
amounting to TWENTY THOUSAND EIGHT HUNDRED THIRTY-
THREE (Php20,833) starting April 30, 2020 until April 30, 2028;

4. That I execute this affidavit voluntarily to attest to the truth of


the foregoing statements and for all legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature on


this ________________ in the City of Tagbilaran, Province of Bohol,
Philippines.

MAY ANNE OCIO GENOVIA


Affiant
PHILHEALTH: 02-050908898
Issued by PhilHealth

/bSUBSCRIBED AND SWORN to before me this


______________________ in the City of Tagbilaran, Bohol,
Philippines. Affiant exhibited to me her competent proof of identity.

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