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J’NER CEPADA CONSTRUCTION

Barangay Canturing, Maasin City, Southern Leyte


Telephone No. 381-2542

AFFIDAVIT OF SITE INSPECTION

I, Nerio D. Cepada, Jr. of legal age, Married, Filipino and residing at R. Kangleon Street,
Barangay Abgao Maasin City, Southern Leyte, under oath, hereby depose and say:

1. That I am the Proprietor/Project Manager of the J’NER CEPADA Construction, with


office @ Barangay Mambajao, Maasin City;
I have inspected the site for the Construction/Rehabilitation of Water Supply System,
Brgy. San Isidro, Maasin City;

2. That I am making this statement as part of the requirement for the Technical Proposal
of the Barangay San Isidro, Maasin City, Southern Leyte for /Rehabilitation of Water
Supply System.

IN FAITH WHEREOF, I hereby affix my signature this day of , 2016 at Maasin


City, Southern Leyte, Philippines

NERIO D. CEPADA, JR.


Proprietor/Manager

SUBSCRIBED AND SWORN TO before me this of 2016,


affiant exhibiting to me his/her Community Tax No. _________________ issued on
______________________, 2016 at Maasin City, Southern Leyte, Philippines.

Doc. No.
Page No.
Book No.
Series of 2016

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