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Republic of the Philippines)

City of Butuan………………….) S.S

AFFIDAVIT

I, OSIAS Z. SEMBLANTE, of legal age, Filipino, married and a resident of P-5,


Brgy. Calibunan, Cabadbaran City, Agusan del Norte, Philippines, after having
been duly sworn to in accordance with law, hereby depose and say:

1. That I am the driver of Mr. POLICARPIO QUIMNO for almost 6 years;

2. That on March 13, 2022, I loaded forest products using the vehicle with
plate no. 124696 registered under the name of Mr. Quimno;

3. That on April 18, 2022, I attended a Summary Administrative


Proceedings at CENRO Nasipit and personally told the hearing officer
and the members of technical working group that I did the act of
transporting the forest products without documents to earn money for
personal gain.

IN WITNESS HEREOF, I have hereunto set my hand this 21 st day of June


2022, in Butuan City, Philippines.

OSIAS Z. SEMBLANTE
Affiant
Driver’s License No.

SUBSCRIBE AND SWORN to before me this 21st day of June 2022, in


Butuan City, Philippines, affiant exhibited to me his Driver’s License, as above
indicated.

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