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Republic of the Philippines)

Malaybalay City, Bukidnon) S.S

WAIVER OF RIGHTS

I, MARIANO M. JAYME, JR., of legal age, single, Filipino and a resident


of Purok 6, Kalasungay, Malaybalay City, Bukidnon, after having been duly
sworn to an oath in accordance with law, hereby depose and say:

1. That I applicant for a water concession with Malaybalay City Water


District under Account No. 21-00027;

2. That for and in consideration of my love and affection I, the


undersigned, do hereby WAIVE, TRANSFER AND CONVEY all my
rights, interests and obligations over above-mentioned concession;

3. That this waiver is being executed in favor of my mother


ASUNCION M. JAYME, of legal age, widow, and a resident of Purok
6, Kalasungay, Malaybalay City, Bukidnon;

4. That this affidavit is taken for the purpose of informing all the
concerned persons and agencies especially the Malaybalay City
Water District about the foregoing facts;

5. That I hereby manifest, affirm, swear and testify to the correctness


of the foregoing.

6. That I am voluntarily executing this affidavit for whatever legal


purpose/s it may best serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 28th day of


October, 2019 at Malaybalay City, Bukidnon.

MARIANO M. JAYME, JR.


Affiant

SIGNED IN THE PRESENCE OF:

_____________________________ _____________________________

SUBSCRIBED AND SWORN to before me this 28th day of October,


2019 at Malaybalay City, Bukidnon, Philippines. Affiant exhibited to me
his proper evidence of identification. I HEREBY CERTIFY that I have
personally examined the affiant and I am satisfied that he voluntarily
executed and understood this affidavit.

Doc No. ____


Page No. ___
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Series of 2019

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