Republic of the Philippines )

City of iligan……………………)s.s.
AFFIDAVIT

That I, Alfredo Bantugan of legal age Filipino.

Single/ married/widow / residing at p-9 Tambacan high way iligan city ,after
Been duly sworn to in according with law, do hereby depose and say,
1) That I am the owner and proprietor of Odyssey Enterprises welding pubr.located
At P-9 Tambacan highway , Iligan City.

2)That the motor vehicles, was came in my shop for detached body
From motor cycle with sidecar to motor cyclcle single with out sidecar which more
Particularly described as follows;

MAKE and TYPE : YAMAHA STX MOTORCYCLE

MOTOR ENGINE NUMBER : 5RE-042565

CHASSIS NUMBER :

MV FILE NUMBER : 1036-20239

PLATE NUMBER : KQ6917

COLOR :

OWNER : Ricardo Q. Medrano

ADDRESS ; P-11 TAMBACAN ILIGAN CITY

That I am executing this affidavit , to prove that truth of the foregoing facts to
Support request for a permit from the HPG ILIGAN CITY HIGHWAY PATROL GROUP.

ALFREDO H. BANTUGAN
Affiant
SUBSCRIBED AND SWORN TO BEFORE , me this 11TH day of JULY. 2017 ,at Iligan
City , Philippines.