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REPUBLIC OF THE PHILIPPINES )

) S.S.

AFFIDAVIT OF COMPLIANCE FOR POST KIDNEY TRANSPLANT MEDICATIONS

I, CATHERINE DELA PAZ TORRES, 55 Years Old, Filipino citizen, Widow with
Residence and postal address at #002 5th Street Pacheco Subdivision, Dalandanan, Valenzuela
City, having been sworn in accordance with law, hereby depose and say:

1. That I just getting help from her immediate family and relatives and she wants to live
a normal life.

2. ROSARIO SAULAN, Retired Government Employee and expected an amount to be


receive on a monthly basis

A. That my son ALFREDO TORRES, is willing to support me in my post kidney


transplant medication expenses through his SALES AGENT with a share of Five
Thousand Pesos (P 5,000.00).

B. That my aunt ROSARIO SAULAN who is a Retired Government Employee is


willing to give Ten Thousand Pesos (P 10,000.00) monthly

3.That I can comply with my post kidney transplant medication for the next three years
given the above mentioned support.

4. That I am willing to seek assistance from different agencies of the government in case
these support will not suffice.

5. That I execute this affidavit to attest to the truth of the foregoing and for whatever legal
intents and purpose this may serve.

IN WITNES WHEREOF, we have hereunto affixed our signatures this day of


_____________________

_______________________
Affiant

SUBSCRIBED AND SWORN to before me this __ day of ___________

Doc. No. _____;


Page No._____;
Book No._____;
Series of ______

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