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AFFIDAVIT OF LOSS
That on March 16, 2017, I found that such wallet was no longer in my
possession;
That diligent efforts to locate the said wallet were made by me but were
proven futile;
That the said wallet and all its contents are now deemed lost and beyond
recovery;
IN WITNESS WHEREOF, I have hereunto set my hand this 21st day of March,
2017 at Iloilo City, Philippines.
KEVIN C. RUBINOS
Affiant
SUBSCRIBED AND SWORN to before me this 21st day of March, 2017, after
affiant exhibited to me his Social Security System I.D. with I.D. no. 09-3714258-1 as
competent proof of his identity.