AFFIDAVIT OF LOSS
Notice is hereby given that I, Susan Villamil, of legal age, Filipino, and with residence at Arellano Bani, Dagupan City, after having been duly sworn in accordance with law, hereby deposed and state that, I am an insurance agent of The Manufacturers Life Insurance Co. (Phils.) Inc., Manulife Financial Plans, Inc. with office address at Perez Blvd., Dagupan City, that the issued Provisional Receipts was lost due to Typhoon Peping, under Doc. No. 301; Page No. 6; Book No. XIV; Series of 2014, under Notary Public Atty. Servito.
November 30, Dec. 7 and 14, 2014
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