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1. That I am the widow of BENITO D. DELA CRUZ who died on July 30,
2013 in Quezon City because of head injuries sustained in a vehicular
accident as per autopsy result conducted by Dr. Lito R. Santos;
1. That I am the true and licensed owner of a one (1) unit 380 LLAMA
Pistol firearm with Serial No. 07-04-16694-97.
3. That after the Bureau of Fire Sablayan, declared a fire out, I searched
for the said pistol, but despite diligent efforts I can no longer find the same;
FILOMENA O. CAMBA
AFFIANT