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Republic of the Philippines)

Province of Isabela ) S.S.


Municipality of Ilagan )
X - - - - - - - - - - - - - - - - - X
AFFIDAVIT OF LOSS
I, CL!" #$%&!$' (. S#L#C)P, of legal age, "ilipino, *arrie+ an+ a
resi+ent of ,rgy. ,angag, Ilagan, Isabela, after having been +uly s-orn to in accor+ance
-ith la-, +o hereby +epose an+ say.
%hat I a* the sa*e person e/ecuting this #ffi+avit0
%hat I a* a Public School %eacher assigne+ at Caligayan le*entary School,
Caligayan, %u*auini, Isabela0
%hat
%hat I a* the son of spouses111111111111111111as evi+ence by *y ,irth
Certificate hereto attache+ as #nne/ 2#30
%hat I -as na*e+ an+ bapti4e+ as S#M)L 5L# CR)6 as appearing in *y
,aptis*al Certificate in #nne/ 2,30
%hat I have been consistently using in all official transactions the na*e S#M)L
5L# CR)6 of -hich I a* publicly 7no-n;
%hat on 8uly 9:, ;<<=, I learne+ thru the certification of $ieves $. >alle?o, Cler7 of
Court of M%C Cor+on, Isabela, attache+ as #nne/ 2C3, that a person Mac+a 5ela Cru4
@ S#M)L 5L# CR)6 has been charge+ of the cri*e of AI5$#PPI$( BI%&
M)L%IPL M)R5R on March ;C, 9DEE no- pen+ing before the court.
%hat the person na*e+ Mac+a +ela Cru4 @ S#M)L 5L# CR)6 as cite+ in
the sai+ certification is not *e, as *y a++ress is at 5el Pilar, #licia, Isabela -hile Mac+a
5ela Cru4 @ Sa*uel 5ela Cru4 is a resi+ent of 5alla, Cor+on, Isabela. It is for this
reason that I a* e/ecuting this affi+avit to attest un+er oath that I a* not the sa*e person
charge -ith the afore*entione+ cri*e.
I$ BI%$SS B&R!", I have hereunto set *y han+ this :
th
+ay of 8anuary,
;<<F at Ilagan, Isabela..
SAMUEL S. DELA CRUZ
#ffiant
S),SCRI,5 #$5 SB!R$ %! ,"!R M %&IS :
%&
5#' !" 8anuary,
;<<= at Ilagan, Isabela.
Republic of the Philippines )
Province of Isabela ) S. S.
Municipality of Isabela )
/-------------------------------------/
AFFIDAVIT OF DENIAL
I, LILIBETH PAGALING, of legal age, "ilipino, an+ a resi+ent of RS,S ,l+g.,
)pi, (a*u, Isabela, after having been +uly s-orn to in accor+ance -ith la-, hereby
+epose an+ state %&#%.
9. I personally 7no- one Sgt "er+inan+ L Ru*a, a *e*ber of Philippine #r*y
presently assigne+ at G:I,, 5upa/, $ueva >i4caya0
; So*eti*e in the year 9DD:, Sgt Ru*a an+ I ha+ a relationship, he being a
single at that ti*e. &o-ever, -hen he got *arrie+ in 9DDG I bro7e *y relationship -ith
hi*. ,ut in 9DDF, -e ha+ a chance encounter an+ at that ti*e his -ife -as -or7ing
abroa+. %hat encounter resulte+ to the birth of our chil+ na*e+ Shar*aine Ru*a -ho is
no- 9< years ol+. &o-ever, after internali4ing *y situation -ith Sgt Ru*a an+ as I +i+
not -ant to further continue *y i**oral liason -ith a *arrie+ *an, I severe+ *y
relationship -ith Sgt Ru*a.
C. So*eti*e in ;<<<, -hen Sgt Ru*a )$I$%$%I!$#LL' faile+ to give
support our co**on chil+, I file+ an a+*inistrative case against hi* before the Provost
Marshall, but I later on -ith+re- the sa*e on the groun+ that I pitie+ our chil+. !ne of
the con+itions for the -ith+ra-al of sai+ co*plaint -as for Sgt Ru*a to allo- *e to stay
at RS,S ,l+g situate+ insi+e Ca*p Melchor " +ela Cru4, )pi, (a*u, Isabela, -ith hi*
paying for the rentals even though he is not allo-e+ to visit us there since -e alrea+y
severe+ our relationship0
:. %he fact that I a* staying at RS,S ,l+g +oes not *ean that I still *aintain
i**oral relationship -ith Sgt Ru*a, but the reason of *y stay in sai+ buil+ing is
pre+icate+ on the foregoing circu*stances.
G. Shoul+ I later on be calle+ to testify on the veracity of the foregoing
state*ents, I -ill testify so as to e/onerate Sgt Ru*a fro* any cri*inal or a+*inistrative
liability, if there is any at all0
=. $o force, threat, inti*i+ation, coercion or -hatever for* of +uress -as ever
e*ploye+ upon *e so as to e/ecute this +ocu*ent. I hereby state un+er oath an+ un+er
the penalty of per?ury that the foregoing state*ents are true an+ correct to the best of *y
7no-le+ge an+ belief. %he legal i*plications an+ conseHuences hereof -ere fully
e/plaine+ to *e in the *anner an+ language I spea7 an+ un+erstan+.
F. I a* e/ecuting this affi+avit to attest to the veracity of the foregoing
state*ents an+ for all legal intents an+ purposes it *ay serve best.
I$ BI%$SS B&R!", I have hereunto affi/e+ *y signature this :
th
+ay of
#pril, ;<<F at Ilagan Isabela.
LILIBETH PAGALING
#ffiant
S),SCRI,5 #$5 SB!R$ to before *e this :
th
+ay of #pril, ;<<F at Ilagan,
Isabela. I hereby certify that I have personally e/a*ine+ the affiant an+ I a* fully
satisfie+ that she has rea+ an+ un+erstoo+ the contents of the foregoing +ocu*ents an+
that she ac7no-le+ge+ to *e that the sa*e is a pro+uct of her o-n volition.


Republic of the Philippines )
Province of Isabela ) S. S.
Municipality of Isabela )
/-------------------------------------/
A F F I D A V I T
I, SGT. FERDINAND L. RUMA, of legal age, "ilipino, an+ a resi+ent of Linao
$ort, %uguegarao City, after having been +uly s-orn to in accor+ance -ith la-, hereby
+epose an+ state %&#%.
9. I a* a *e*ber of Philippine #r*y presently assigne+ at G:I,, 5upa/, $ueva
>i4caya0
; So*eti*e in the year 9DD:, Lilibeth Pagaling an+ I ha+ a relationship, I a*
being a single at that ti*e. &o-ever, -hen I got *arrie+ in 9DDG I bro7e *y relationship
-ith Lilibeth Pagaling. ,ut in 9DDF, -e ha+ a chance encounter an+ at that ti*e *y -ife
-as -or7ing abroa+. %hat encounter resulte+ to the birth of our chil+ na*e+ Shar*aine
Ru*a -ho is no- 9< years ol+.
C. So*eti*e in the year ;<<<, I unintentionally faile+ to give support our
co**on chil+. ConseHuently, Lilibeth Pagaling file+ an a+*inistrative case against *e
before the Provost Marshall, but later on -ith+re- the sa*e on the groun+ that she pitie+
our chil+. !ne of the con+itions for the -ith+ra-al of sai+ co*plaint -as I allo- her to
stay at RS,S ,l+g situate+ insi+e Ca*p Melchor " +ela Cru4, )pi, (a*u, Isabela,
paying for the rentals even though I a* not allo-e+ to visit her an+ *y chil+ since -e
alrea+y severe+ our relationship an+ gave the a*ount of P:<,<<<.<< for the financial
support of our chil+ Shar*aine Ru*a0
:. $o force, threat, inti*i+ation, coercion or -hatever for* of +uress -as ever
e*ploye+ upon *e so as to e/ecute this +ocu*ent. I hereby state un+er oath an+ un+er
the penalty of per?ury that the foregoing state*ents are true an+ correct to the best of *y
7no-le+ge an+ belief. %he legal i*plications an+ conseHuences hereof -ere fully
e/plaine+ to *e in the *anner an+ language I spea7 an+ un+erstan+.
F. I a* e/ecuting this affi+avit to attest to the veracity of the foregoing
state*ents an+ for all legal intents an+ purposes it *ay serve best.
I$ BI%$SS B&R!", I have hereunto affi/e+ *y signature this 9<
th
+ay of
#pril, ;<<F at Ilagan Isabela.
SGT. FERDINAND L. RUMA
#ffiant
S),SCRI,5 #$5 SB!R$ to before *e this 9<
th
+ay of #pril, ;<<F at Ilagan,
Isabela. I hereby certify that I have personally e/a*ine+ the affiant an+ I a* fully
satisfie+ that he has rea+ an+ un+erstoo+ the contents of the foregoing +ocu*ents an+ that
he ac7no-le+ge+ to *e that the sa*e is a pro+uct of his o-n volition.

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