Republic of the Philippines}

Quezon City } S.S

AFFIDAVIT

I, MELCHOR FAMOR DILAG, owner of SUMMITCOOL AND INDUSTRIAL

TRADING COMPANY, with company address at 68 TACLOBAN ST., PAEL ESTATE,
CULIAT QUEZON CITY, after having been duly sworn to in accordance with law, hereby
depose and say that:

1. That the vehicle described below was under the name of SUMMITCOOL AND
INDUSTRIAL TRADING COMPANY:

MV FILE NO: 1304-00000309092

PLATE NO: WCO299
ENGINE NO: D4BBD018747
CHASSIS NO: KMFZBX7BADU992665
MAKE: HYUNDAI
SERIES: H-100
BODY TYPE: SHUPPLE
FUEL/YEAR MODEL: DIESEL/2013

2. the top load of the said vehicle was done by us and as proof we have a receipt for the
materials used for the said top load, attached at the back of this documents;

3. I am executing this Affidavit to attest to the truth of the foregoing statements and for
whatever purpose it may serve in my behalf.

FURTHER SAYETH NAUGHT.

MELCHOR FAMOR DILAG

SUMMITCOOL AND INDUSTRIAL
TRADING COMPANY
Affiant

SUBSCRIBED and SWORN to before me this September 27, 2023 at Quezon City, affiant
exhibited to me his/her, community tax certificate.

Doc. No.______
Book No._____
Page No._____
Series of 2023