Contractor'S Affidavit: Sixto D. Tee

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

Republic of the Philippines )

Municipality of Mambajao ) S.S.


Province of Camiguin )

CONTRACTOR’S AFFIDAVIT

I, SIXTO D. TEE, of legal age, with postal address at Plaridel, Mambajao,Camiguin after having duly sworn
to in accordance with the law, hereby depose and say;

That I am the Owner/Prorietor of SHEEN-SHEEN Construction with business address at Plaridel,


Mambajao, Camiguin.

That SHEEN-SHEEN Construction has a contract with the Republic of the Philippines under the Local
Government Unit of Mambajao.

That the said contract is for the Concreting of Local Access Road at Government Center, Poblacion,
Mambajao, Camiguin.

That in compliance with government regulation, Sheen-sheen Construction, states the gross receipts has been
declared with the Bureau of Internal Revenue for Income Tax Purposes;

That we have submitted our Monthly Certificate of Payment No. 2 for our construction works for the period
November 22, 2018- November 4, 2019.

That we have not given any money or gift, nor made promises of anything to any person, or officer of the
Local Government Unit of Mambajao in connection to the said project;

That Sheen-sheen Construction has fully paid all the workers/laborers, subcontractors, suppliers and all
persons or parties who have done or furnished, materials supplied, supplied services, and other inputs on
works accomplished on the project as of February 28, 2019 and such payments were all in accordance with
law;

That this affidavit is being executed to support our claim for our Final Collection Billing for work
accomplished pertinent to the above said project and to comply with the legal requirements

IN WITNESS WHEREOF, I have unto fixed my signature this ___ day of ___________
2019 at Mambajao, Camiguin.

SIXTO D. TEE
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of ___________ 2019 at Mambajao,
Camiguin, affiant exhibited to me his Res. Tax Cert.No.__________ dated __________issued
at_____________.

Notary Public

Doc No. :_________________


Page No. : _________________
Book No. :_________________
Series of 2019
.

You might also like