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Republic of the Philippines )

Province of La Union )
San Fernando City )

AFFIDAVIT

I, Engr. Christian C. Albert, of legal age, Filipino, married, with business address at
Barangay III, San Fernando City, La Union after having been duly sworn to in accordance with
the law, hereby depose and say that:

1. That I am a Licensed Civil Engineer, a Contractor/Owner of Top Builders


Construction and with Tax Identification No. 6548765.

2. That I am currently holding a business office at Barangay III, San Fernando City, La
Union.

3. That on __________________________, Ms. Gretchen A. Barreto availed of my


service as Contractor for City Park Building erected at Barangay I, San Fernando
City, La Union.

4. That a Contract of Service was executed on ________________________, at the


residence of Ms. Gretchen A. Barreto at Barangay I, San Fernando City, La Union.

5. That the initial and final payment for the construction of City Park Building was paid
on __________________________ by Ms. Gretchen A. Barreto.

6. That I am executing this affidavit to attest to the veracity of the foregoing facts and
for all intents and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ___________ day of


___________, at __________________________.

ENGR. CHRISTIAN C. ALBERT


Affiant

SUBCRIBED AND SWORN to before me, in ____________, this __________ day of


_________________ with Community Tax Certificate No. 76756433 issued at Barangay III, San
Fernando City, La Union on January 5, 2019.

NOTARY PUBLIC

Doc No. _______


Page No. _______
Book No. _______
Series of 2014.

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