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Republic of the Philippines)

City of Muntinlupa ) S.S.

AFFIDAVIT OF OWNERSHIP

I, MARY B. PEREGRINA, of legal age, Filipino and resident of B-9 L-12


Arellano St., Katarungan Village, Muntinlupa City, under oath, hereby declare
and state that:

1. I am the mother of MARILYN PEREGRINA. My aforesaid daughter is


the spouse of MATSUBAYASHI TOMONORI, a Japanese National.

2. My said daughter and her husband are currently in Japan. However,


they unintentionally left behind a KDDI TOSHIBA A5509T with charger.

3. I hereby certify that they are the owners of the said mobile phone.

I am executing this affidavit to attest to the truth of the foregoing facts and
for the purpose of shipping the said device back to Japan via FedEx.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day


of March, 2007 in Muntinlupa City.

MARY B. PEREGRINA
Affiant

SUBSCRIBED AND SWORN to before me this 5th day of March, 2007 in


Muntinlupa City.

Doc. No. 363 PATRICIO L. BONCAYAO, JR.


Page No. 74 Notary Public
Book No. 108 Until December 31, 2007
Series of 2007 PTR # 0093835- 01-02-2007
City of Muntinlupa
TIN # 137-734-581

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