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Change of Engine and Name - Sanchez

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Republic of the Philippines )

City of Tacloban ) SS

JOINT AFFIDAVIT RE:


CHANGE OF ENGINE & BODY

We, JOHN C. SANTOS, of legal age, Filipino, single and a resident of Zone
Gemini, Pawing, Palo, Leyte, and ISAGANI D. AQUINO, of legal age, Filipino, married
and proprietor of Awto Repair Shop at Tabuan Highway, Marasbaras, Tacloban City,
Leyte after being first sworn according to law, do hereby depose and state: THAT---

The first party is the owner of a motor vehicle/multi-cab, and particularly


described as follows:

MAKE/TYPE : SUZUKI JITNEY (UV-hire)


ENGINE No. : F5A-2757975
SERIAL/CHASSIS No. : DA71T-322151
PLATE No. : HVM-787 (formerly GKD-850)
COLOR : GREEN
Cert. of Registration : 74001194 dtd 10-16-16

On May 8, 2020, the first party engaged the services of PURA AUTO REPAIR
SHOP, managed by the second party, to change/replace the motor engine bearing
Motor No. 2757975 with a new motor engine with Motor No. F6A-5326029, purchased
from GCY Parts Center, Cebu City, under Invoice No. 4004 dated 22 May 2019, and
supported by a Certification of Stock Reported No. 0828854-6 issued by LTO dated 8
February 2020 on the Certificate of Payment No. 08690281 made to the Bureau of
Custom; said certification was paid under LTO OR No. 368599044 issued on same date.

Furthermore, the first party engaged the services of the second party to rebuild
the said multi-cab from pick-up to jitney (8-seaters).

The job is now finished.

This affidavit is executed to attest to the truth of the above facts the purpose of
recording the CHANGE OF ENGINE and BODY with the proper government authorities
and for whatever legal purposes this may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this 9th day of May
2020 at Tacloban City, Leyte, Philippines.

JOHN C. SANTOS ISAGANI D. AQUINO

SUBSCRIBED AND SWORN to before me this 9th day of May 2020 at Tacloban
City, Leyte affiants exhibiting to me their respective Driver’s License H05-12-000232 &
H05-12-000848 respectively, as competent evidence of identity.

Doc. No. __
Page No. __ ATTY. JONALYN C. SANCHEZ
Book No. __ Notary Public for Tacloban City, Leyte
SERIES OF 2020 Commission No. 2020-01-02 Until 31 Dec 2020
Roll No. 98765 / IBP No. 133790; 1-10-2020
PTR No. 9876543; 1-10-2020; Tacloban City
78 Marasbaras, Tacloban City

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