REPUBLIC OF THE PHILIPPINES)

PROVINCE OF BULACAN ) S.S.

CITY OF MALOLOS

AFFIDAVIT

I, MA. VICTORIA R. MARCELO, of legal age, Filipino, and with office address
at Provincial Youth, Sports and Public Employment Service Office (PYSPESO) of the
Provincial Government of Bulacan, Capitol Compound, Guinhawa, City of Malolos,
Bulacan after having been duly sworn to in accordance with law hereby depose and
sayeth:

1. That I have been in charge of PYSPESO this January 2018;

2. That on the 11th of January 2018, on or about 6:40 p.m. a huge fire had broken out;

3. That said fire had spread quickly that it consumed a fairly large part of an office
located at the Bulacan Sports Complex with address at Sta. Isabel, City of
Malolos, Bulacan;

4. That amongst the damage sustained by the office, various equipment got lost due
to the fire;

5. That the various equipment include (a) swimming floaters amounting to

P357,260.00, (b) Five units of HD, Kawasaki Grasscutter (at P25,499.85 each)
amounting to P127,499.25, (c) Two units HD, Kawasaki Grasscutter (at P20,000.00
each) amounting to P40,000.00, (d) Two units HD, Kawasaki Grasscutter (at
P14,950.00) amounting to P29,900.00 and (e) Five pieces of upholstered chairs (at
P1,200.00 each) amounting to P6,000.00.

6. That the total amount of loss due the fire is P560,659.25;

7. That I executed this affidavit in order to attest to the truth of all the foregoing
facts and for all legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto set my hand this 9 th day of October

2018 in the City of Malolos, Bulacan, Philippines.

MA. VICTORIA R. MARCELO

Affiant

SUBSCRIBED AND SWORN to before me on the place and date above stated.

Doc. No. 142: ATTY. JOEL B. ARELLANO

Page No. 30: Commission No. PNC 24-MB-2018
Book No. X: Notary Public for the Province of Bulacan
Series of 2018 . Until December 31, 2019
Provincial Capitol Malolos City Bulacan
PTR NO. 0005584/01-04-2018 MALOLOS
IBP NO. 028077-01-17-2018 BULACAN
ROLL NO. 53884
MCLE COMPLIANCE NO. V-0010161