REPUBLIC OF THE PHILIPPINES)

QUEZON CITY, METRO MANILA) S.S.

AFFIDAVIT OF BIRTH
I, NORBERTO S. RUIZ, of legal age, Filipino, and residing at 1253 Ibarra St.,
Sampaloc, Manila, after having been duly sworn in accordance with the law, do hereby
depose and say:
1. That, I was born on March 14, 1935 in Palo, Leyte from Spouses AURELIO G.
RUIZ and MARIA SALVADOR;
2. That the record of my birth has been totally destroyed and/or burned during the
war period, thus, a negative result of verifying the
That we are executing this affidavit to attest to the truth of the foregoing facts, for
whatever legal intent and purpose it may serve.
IN WITNESS WHEREOF, we have hereunto set our hands this 12 th day of
December 2005 at Quezon City, Philippines.

MELBA R. MEDES
Affiant

ANGELICA M. YAP
Affiant

SUBSCRIBED AND SWORN to before me this 12th day of December 2005 at Quezon
City, Philippines. Affiants personally exhibiting their Community Tax Certificate Nos. 10532366
& 18901596 issued on 1-24-05 & 3-7-05 at Manila & Manila, respectively.
Doc. No. ___________
Page No. ___________
Book No. ___________
Series of 2005.

REPUBLIC OF THE PHILIPPINES)

QUEZON CITY, METRO MANILA) S.S.
AF FI D AV I T
We, MELBA R. MEDES and ANGELICA M. YAP, of legal ages, Filipino citizens,
and both residing at 3851 Escoda Street, Sampaloc, Manila, and as Owners and/or persons
handling the controlled chemical/s, respectively, of NEW ANGELGOLD COMPANY, a
partnership business engaged in repacking, buy and sell, wholesale or retail of general

merchandise, with business address at 3851 Escoda Street, Sampaloc, Manila, after having
been duly sworn in accordance with the law, do hereby depose and say:
That, NEW ANGELGOLD COMPANY, is an applicant for Precursor & Essential
Chemical License to repack, distribute (wholesale/retail/use) controlled chemicals with
prior approval from the Philippine Drug Enforcement Agency.
That the following are the controlled chemical/s being handled by our company:
Name of Controlled
Chemical & its
% Concentration

Purpose of handling the

Controlled Chemicals

Projected Annual
Consumption

Supplied By:

- For household use

300 Containers
(4
gal.

NECO Phils.,
per
cont.)

15% MURIATIC ACID

Incorporated

That the Company, by virtue of this affidavit hereby binds itself to all the provisions
of republic Act 9165, otherwise, known as the Comprehensive Dangerous Drugs Act of
2002, and other implementing rules and regulations and assuring that such law and
regulations shall be faithfully complied with;
That we are executing this affidavit to attest to the truth of the foregoing facts, for
whatever legal intent and purpose it may serve.
IN WITNESS WHEREOF, we have hereunto set our hands this 12 th day of
December 2005 at Quezon City, Philippines.

MELBA R. MEDES
Affiant

ANGELICA M. YAP
Affiant

SUBSCRIBED AND SWORN to before me this 12th day of December 2005 at Quezon
City, Philippines. Affiants personally exhibiting their Community Tax Certificate Nos. 10532366
& 18901596 issued on 1-24-05 & 3-7-05 at Manila & Manila, respectively.
Doc. No. ___________
Page No. ___________
Book No. ___________
Series of 2005.