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City of ) S.S.
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SWORN STATEMENT
I, FAIRY GUARD JR., 40 years of age, single, currently residing in Lot No.
50, Katarungan St, Brgy. Itaas Antipolo City, after having been duly sworn
to in accordance with law, do hereby depose and state that:
Notary Public
Doc. No. ________
Page No. ________
Book No. ________
Series of 2018.