FomNo WTC 124
‘Revision No, of
Sandu, Pampanga in
AFFIDAVIT OF OWNERSHIP AND LOSS WITHYMDERTAKING
Lanta arty A srniGley tiga oe, Fina citzen and present esdg at
a wil Wis, Prmarndh dh with lelephone number
Wm) and with fea aceon at.
and fen teteptone umber, go hereby ean
1. That ammequtng a CTS cae to
own erat wth
MakaNode Tipe
an LETTH Ta TS Ie To |
1 Rial enan ety ttn,
‘call phone meitoned above, et
lomo sre)
Jor toe Cine Seance cane wien aa)
Prat of Onnesin UAFa te toning
Jor tt ones Recep me tne
Jbl te me poe wh mater Mie Ep ity)
‘Aone noma:
cama eI jos0
Jniowss []102
| "lealos. [sos0 leow
[|e retrateny i
[Pacmet et Spel Prac MR, :
21a does [=o Ire
nas of te
10 ott the versa
(8 tat am exacting tant of onerous wah under z
‘erp decoration nd be vd fr whaler opal ad ane purones ho came may fe
FURTHER AFFANT SAYETH NONE,
see ee mye 28 2M, scones
‘vente Rea Catena — =
Seno. ox
cone. a SANTOS:
ome nono
Uuneie
“es rons nor ron sae
ity OF San Fernando (®)
i" 56-446:704 Rall NO. 1992