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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF CAVITE ) S.S.

AFFIDAVIT OF LOSS
I, OLIVER B. NICOLAS, Filipino, of legal age and with address at
Kabulusan. Gen. E. Aguinaldo Cavite, after being duly sworn in accordance with
law, depose and state, that;
1. I am in possession of a Metrobank check issued by Interlink Manpower
Dev’t & Gen. Services, Inc. with check no. 3473327808

2. That said check has been lost for the reason that I have accidentally
dropped said check without my knowledge;

3. Despite further efforts to recover the said check I could no longer recover
the same;

4. I, OLIVER B. NICOLAS, further understand that by presentation of this


affidavit and the issuance of a replacement check that I can be held legally
liable both under criminal and civil laws if I should attempt to cash or
present the above described check to any bank, financial institution,
currency exchange, or any other third party

5. I am executing this affidavit to attest to the truth of the foregoing facts and
not for any unlawful reasons but for the replacement of said check.

IN TRUTH WHEREOF, I have hereunto affixed my signature this 16th day


of July, 2018 at Alfonso Cavite, Philippines.

OLIVER B. NICOLAS
Affiant

SUBSCRIBE AND SWORN to before me this 16th day of July, 2018 at


Alfonso Cavite. Affiant exhibiting to me his TIN: 447-572-416.
WITNESS MY HAND AND SEAL.
Doc. No. 405 ;
Page No. 82 ;
Book No. LXIII;
Series of 2018.

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