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REPUBLIC OF THE PHILIPPINES)

Province of ____________________) S.S.


City/Municipality of _____________)
x-----------------------x

AFFIDAVIT OF SERVICE

I, ATTY. LEO ARCHIVAL I. IMPERIAL, of legal age, married, and with office
address at Unit 2-D, Prifel Bldg., J. Miranda Ave., Naga City, Camarines Sur, after
having been duly sworn in accordance with law, hereby depose and say:

1. That in my aforementioned capacity, I had served copies on____________ of


the “ENTRY OF APPEARANCE WITH MOTION FOR EXTENSION OF TIME TO FILE
PETITION FOR REVIEW (RULE 43)” in the case to be filed before the Court of
Appeals entitled "WILFREDO AND MACARION SARION vs. HEIRS OF SOSIMA
SARION as represented by EDUARDO SARION MORILLA" docketed as DARAB
CASE NO. 20242 by registered mail in sealed envelopes addressed to the Public
Attorney’s Office-Albay District, with address at the Public Attorney’s Office,
Penaranda Park, Old Albay District, Legazpi City, Albay and the Department of
Agrarian Reform Adjudication Board with address at Annex Bldg., DAR Central
Office Compound, Elliptical Road, Diliman, Quezon City by depositing the same to
the Naga City Post Office as evidenced by Registry Receipt Nos:____________
and_________________ with postage fully pre-paid and with instruction to the
postmaster to return the mails to the sender after ten (10) calendar days if
undelivered; and

2. That service was made by registered mail on account of the distance, time and
personnel constraints in effecting personal service.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at


_____________, Philippines.

ATTY. LEO ARCHIVAL I. IMPERIAL


Affiant
UMID CRN-0111-0898561-5

SUBSCRIBED AND SWORN to before me, this _____________, by the Affiant


whom I have identified through his competent evidence of identity as indicated above
and.

NOTARY PUBLIC

Doc. No. ______;


Page No. ______;
Book No.______;
Series of 20____.

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