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REPUBLIC OF THE PHILIPPINES)

CITY OF MAKATI ) S.S.


x-------------------------------------x

AFFIDAVIT OF SERVICE

I, _________________, of legal age, single/married/widow, Filipino citizen, and


presently residing at _____________________, after having been duly sworn to in
accordance with law, do hereby depose and say:
1. That I am employed as a messenger of Atty. Abo Gado with office address at Room
3333 Cityland 10, Tower I, H.V. dela Costa Street, Salcedo Village, Makati City;
2. That on November 15, 2013, I served a copy of the following pleading/paper
by registered mail in accordance with Sec. 10 of Rule 13 of the Rules of Court:
Nature of Pleading/Paper
____________________________
____________________________
____________________________
in Case No. 123456 entitled "Plain Tiff vs. Defen Dant" by depositing a copy in the post
office in a sealed envelope, plainly addressed to the defendant's lawyer at his office with
postage fully paid, as evidenced by Registry Receipt No. 1111 attached and with
instructions to the post master to return the mail to sender after ten (10) days if
undelivered.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of


___________ 20____ in ____________, _____________, Philippines.
___________________________________
Affiant
Voter's ID No. _________________

SUBSCRIBED AND SWORN TO before me this _____ day of _________ at


________________ affiant exhibited to his/her competent evidence of identity by
way of _________________ issued on __________________ in
_______________, Philippines.

Notary Public
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______;

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