Aff. Of Loss - Pr Obr Shopping No..docx

Republic of the Philippines) Province of Davao del Sur)s.s. City of Digos) X------------------------------------/ AFFIDAVIT OF LOSS I, LANI D. TRAYVILLA, of legal age, married, Filipino Citizen and a resident of Digos City, Philippines after having been duly sworn to in accordance with law do hereby depose and state: That I am the same and identical person who caused the execution of this instrument; That I was In-charge in processing PURCHASE REQUEST (PR) No. 4019, SHOOPING No. 2131 together with the OBLIGATION REQUEST with the amount of One Hundred Ninety Six Thousand Nine hundred Sixty Three Pesos Only (P196, 963.00); That however the said PURCHASE REQUEST, SHOOPING NUMBER and OBLIGATION REQUEST was lost and could not be found despite my tireless efforts to locate the same; That I am executing this instrument freely and voluntarily to inform concerned Department and attest to the truth and veracity of the same; IN WITNESS WHEREOF, I have set my hand this 25th day of January, 2019 in the City of Digos, Davao del Sur, Philippines.

LANI D. TRAYVILLA Affiant SUBSCRIBED AND SWORN to before me this 25th day of January, 2019 in the City of Digos, Davao del Sur, Philippines.