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S
LIPA CITY, BATANGAS }
Affidavit of Loss
I, AIMEE I. DALANGIN, of legal age, Filipino, widow and
with residence address at 56 San Juan, Mabini, Batangas
after having duly sworn to in accordance with law, depose
and state that:
1. I am the beneficiary of memorial lots at ETERNAL
GARDENS MEMORIAL PARK CORPORATION, which is more
particularly described as: