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2. On October 20, 2018, at around 10:30 in the evening, I was driving my above-mentioned
vehicle from Tagum City going to my residential house in Panabo City. While traversing
the national highway in Tagum City, I accidentally bumped a DPWH (barandilla) made
out of kawayan which was fully covered with mud which caused damaged in the left
portion of the headlight/fog lamp and including the bumper area;
The incident imbalanced my driving attention that I had to immediately manage the
steering wheel to the right without noticing a stock pile of round concrete culvert and as
a result, bumped the right side of the front bumper of my driven vehicle. I slowly reversed
and turn to the right path and drove away, however I noticed that the sound of the horn
has changed, and the diesel meter counter display was busted and as such had displayed
incorrect counters.
3. I hereby execute this affidavit to apprise the concerned insurance company for the damage
I caused by my own volition and oversight, to attest to the truth of the foregoing and for
whatever legal purpose this may serve.
______________________
Affiant
Valid ID No. ___
SUBSCRIBED AND SWORN to before me this ___________ at Panabo City, Davao del
Norte, Philippines. Affiant exhibiting to me her IBP Identification Card as proof of her identity.