Affidavit Of Damage.docx

Republic of the Philippines } City of Davao }s.s. x-----------------------------------------------/

AFFIDAVIT OF DAMAGE I, EDMUNDO R. PAWAON, of legal age, Filipino, and a resident of Buhangin, Davao City, Philippines, after having been duly sworn in accordance with law, hereby depose and say that: 1.

I am the registered owner of a certain motor vehicle described as follows: MAKE SERIES BODY TYPE ENGINE NO. CHASSIS NO. CR NO. PLATE NO.

: : : : : : :

MAZDA MAZDA2 SDN 1.5 SEDAN P520389322 MM7DL2SAAHW225946 278749052 LAA 6938

2. On March 1, 2019 at around 1:00 o’clock in the afternoon, while I was cruising along the National Highway from Boston, Davao Oriental to Davao City, a large rock from an indeterminable origin suddenly hit the vehicle’s windshield. As a result, the windshield incurred a huge crack on the point of impact. 3. Despite due diligence in operating the vehicle, the sudden damage to the vehicle cannot be avoided. 4. Likewise, on March 14, 2019 at around 2:00 o’clock in the afternoon, I parked the aforesaid vehicle at SM City, Ecoland, Davao City, parking lot. At around 4:00 o’clock of the same day, when I went back to the parking lot, I noticed a big dent in the back of the aforesaid vehicle. 5. I tried to diligently inquire from persons who may be present on the immediate vicinity, but not one of them could have actually known who caused the said dent. 6. I am voluntarily executing this affidavit to attest to the truth of the foregoing facts, to apprise the concerned authorities and entities of the matter and for whatever legal purpose the same may serve. IN WITNESS WHEREOF, I have hereunto set my hand on March 20, 2019 at Davao City, Philippines.

EDMUNDO R. PAWAON Affiant SUBSCRIBED AND SWORN TO before me this March 20, 2019 at Davao City, Philippines, affiant having exhibited to me competent evidence of identity with Driver’s License No. L01-09-000874 Doc. No. ; Page No. ; Book No. ; Series of 2019.