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    Affidaivt of Damage To Vehicle

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    Rommel P. Abas
    Joey T. Caburatan, a 62-year-old licensed driver, was driving a 2006 Toyota Vios owned by Fr. Daniel D. Coronel on July 14, 2018 at around 10:40 PM. While making a right turn, the vehicle hit a protruding manhole and drainage, causing dents to the two side doors. Caburatan executed an affidavit to attest to the truth of the incident and to support an insurance claim for repair of the damaged doors.

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    Affidaivt of Damage To Vehicle

    Uploaded by

    Rommel P. Abas
    63 views1 page
    Joey T. Caburatan, a 62-year-old licensed driver, was driving a 2006 Toyota Vios owned by Fr. Daniel D. Coronel on July 14, 2018 at around 10:40 PM. While making a right turn, the vehicle hit a protruding manhole and drainage, causing dents to the two side doors. Caburatan executed an affidavit to attest to the truth of the incident and to support an insurance claim for repair of the damaged doors.

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    Damage

    Original Title

    Affidaivt of Damage to Vehicle

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    Joey T. Caburatan, a 62-year-old licensed driver, was driving a 2006 Toyota Vios owned by Fr. Daniel D. Coronel on July 14, 2018 at around 10:40 PM. While making a right turn, the vehicle hit a protruding manhole and drainage, causing dents to the two side doors. Caburatan executed an affidavit to attest to the truth of the incident and to support an insurance claim for repair of the damaged doors.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    63 views1 page

    Affidaivt of Damage To Vehicle

    Uploaded by

    Rommel P. Abas
    Joey T. Caburatan, a 62-year-old licensed driver, was driving a 2006 Toyota Vios owned by Fr. Daniel D. Coronel on July 14, 2018 at around 10:40 PM. While making a right turn, the vehicle hit a protruding manhole and drainage, causing dents to the two side doors. Caburatan executed an affidavit to attest to the truth of the incident and to support an insurance claim for repair of the damaged doors.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Republic of the Philippines) S.S.

    City of Cagayan de Oro)


    x--------------x

    AFFIDAVIT OF DAMAGE TO VEHICLE

    I, JOEY T. CABURATAN, Filipino, 62 years old, married, and a


    resident of Bliss Site, Zone 8, Macanhan, Carmen, Cagayan de Oro City,
    Philippines, after being duly sworn to in accordance with law, hereby
    depose and state:

    1. That I am a duly licensed driver with Professional Driver's


    License No. K02-76-040819 issued by the LTO of Cagayan de Oro City;

    2. That I am presently a SACRISTAN MAYOR/Driver of FR. DANIEL


    D. CORONEL, ADMINISTRATOR of St. Joseph chapel at Macanhan,
    Cagayan de Oro City;

    3. That on 14 July 2018 at around 10:40 in the evening, I was


    driving a vehicle, owned and registered in the name of FR. DANIEL D.
    CORONEL which is more particularly described as follows:

    Make: TOYOTA VIOS Engine No.: L13Z1-1400806


    Model: 2006 Body Type: SEDAN
    Color: BEIGE/METALLIC Plate No.: KDL-363
    Motor No.: 1NZX494762 Serial No.: MR053HY4204209456
    MV File No.: 1036-94190

    4. That on the right side of the road going to the Rectory, there was
    a concrete drainage and at the corner is a manhole enclosed with piles of
    concrete hollow blocks protruding at the side;

    5. That while traversing on the said road, and while I was


    executing a right turn going to the Rectory, the vehicle I was driving hit
    the said manhole/drainage protruding at the side, causing dint to the
    two side doors of the car I was driving then, as can be shown by the
    pictures herein attached;

    6. That I am executing this Affidavit to attest to the truth of the


    foregoing and in support of the claim against the insurance company for
    the repair of the damaged doors of the said car as a result of the above-
    mentioned incident.

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


    of July 2018 at City of Cagayan de Oro, Philippines.

    JOEY T. CABURATAN
    Affiant

    SUBSCRIBED AND SWORN to before me, this __ day of July 2018,


    by JOEY T. CABURATAN who exhibited to me his driver’s license with
    license number K02-76-040819.

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