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REPUBLIC OF THE PHILLIPPINES)

CITY OF CEBU . . . . . . . . . . . . . . . . . . . . ) S.S.

A F F I D A V I T OF LOSS

I, CONCHITA CO, Filipino, of legal age, single, a resident of 874


Tres De Abril St., Cebu City after having been duly sworn in accordance
with law, do hereby depose and estate:

1. That I am the Treasurer of Broadway One Shipping


Corporation: (Broadway for brevity), a corporation duly
organized and existing under the laws of the Philippines
with principal office address in Cebu City;

2. That one (1) booklet of Bill of Lading of Broadway with


series Nos. 00051-00100 was misplaced and I cannot
anymore remember where I put the same;

3. That this matter came known to me last June 28, 2014


when I was about to do my routine reports;

4. That I tried to exert earnest efforts and due diligence to


locate the same, but all to no avail, and now considered
beyond recovery;

5. That this affidavit is executed to attest the truth and


veracity of the foregoing facts stated herein and for
whatever purpose and intent it may serve best;

IN WITNESS WHEREOF, I have hereunto set my name and


affixed mysignature this day of June 2014 in the City of
Cebu, Philippines.

CONCHITA C. CO
Treasurer

SUBSCRIBED AND SWORN TO BEFORE ME TO this ___________day


of June 2014 in the City of Cebu, Philippines. Affiant exhibited to me
her CTC No. 34016672 issued at Cebu City on February 4, 2014.

Doc. No. ;
Page No. ;
Book No. ;
Series of 2014.

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