REPUBLIC OF THE PHILIPPINES)

City/Municipality____________)
Province__________________) SS.

AFFIDAVIT OF SERVICE

I,_Juan dela Cruz, Filipino, of legal age, single and a resident of

_________________, after having been duly sworn in accordance with
law hereby state that:

1. I am the messenger of ABC LAW OFFICE with office address at

____________________

2. That on 14 February 2016, I served a copy of the following

pleading/paper, dated ___________, 2016 by ordinary/registered mail
in accordance with Sections 3 and 5 in relation to Section 10 of Rule
13, Rules of Court.

3. That the addressee(s) is/are as follows: POST OFFICE RECEIPT

NOS.
1. ______________________________________
_______________________________
2. ______________________________________
_______________________________
3. ______________________________________
_______________________________

4. Nature of Pleading/Paper in Crim Case No.

____________________________________________ entitled People of the
Philippines vs _______________ was filed to the afore-stated parties
by depositing a copy of the afore-stated pleading in the post office,
in a sealed envelope, plainly addressed to the party/ attorney at his
office/ residence with postage fully prepaid, as evidenced (in case of
registered mail) by Registry Receipt No. ________________ hereto
attached, and with instructions to the postmaster to return the mail
to the sender after ten (10) days, if undelivered.

5. That I will personally be filing with the Court of Appeals the

original of the pleading/paper.

SUBSCRIBED AND SWORN to before me this ______ day of

Philippines, affiant exhibiting to me his/her Residence Certificate No.
______________, issued at__________ on ___________________.
Doc. No. _____; NOTARY PUBLIC
Page No. _____;
Book No. _____;
Series of 2017.