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REPUBLIC OF THE PHILIPPINES)

CITY OF BAGUIO - - - - - - - - - ) S.S.

AFFIDAVIT OF UNDERTAKING

I, DIVINE B. PURISIMA, of legal age, Filipino, married, with


residential and postal address at No. 069C Purok 27, San Carlos Heights,
Baguio City, Philippines, after having been sworn in accordance with law,
hereby deposes and says that:

1. I am applying for a water connection at Baguio Water District


to be connected to the above-mentioned property;

2. The water connection will traverse through my neighbor’s land


for the connection to reach my property;

3. Should the lot owner claim ownership over the land which my
water connection traversed, I am willing to disconnect the water services
from Baguio Water District;

4. In connection with this, I will not hold the BAGUIO WATER


DISTRTICT (BWD) liable;

5. I further undertake that I will not complain should the water


connection be removed in the future;

6. I am executing this Affidavit to attest to the truth of the


foregoing facts, and for all legal intents and purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this day 17 th
day of November 2022 in Baguio City, Philippines.

DIVINE B. PURISIMA
Affiant

SUBSCRIBED AND SWORN to before me this 17 th day of November


2022 in Baguio City, Philippines. Affiant exhibited to me her PHILHEALTH
ID with No. 04-025178754-0 and she avowed under penalty of law to the
truth of the foregoing.

Doc. No. 113


Page No. 23
Book XV
Series of 2022

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