Beruflich Dokumente
Kultur Dokumente
MAKE----------------Kawasaki CT100S
TYPE ----------------Motorcycle without Side Car
CHASSIS No. ------- MD2A18AZ1EWD64801
ENGINE/MOTOR No. DUZWED19547
PLATE No.---------- AC 18088
2. That I have caused the change of the body of said Motor vehicle from its original
MOTORCYCLE WITHOUT SIDE CAR to TRICYCLE;
3. The changes mentioned above were not aimed to conceal a crime or violation of the
Land Transportation Code, Traffic Laws and Regulations or the Revised Penal
Code of the Philippines, but was principally for personal reason and satisfaction;
IN WITNESS WHEREOF, I have hereunto set my hand this 12th day of August
2015 at Tubao, La Union, Philippines.
FELIX U. CORPUZ
Affiant
SSS 03-2642755-8
SUBSCRIBED AND SWORN to before me this 12th day of August 2015 at Tubao,
La Union by the affiant appearing personally and who is known to me to be the same person
who executed this affidavit.