Sample of Crim Complaint

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Republic of the Philippines

PHILIPPINE NATIONAL POLICE


LAMBUNAO POLICE STATION
LAMBUNAO, ILOILO

The Provincial Prosecutor of Iloilo


Ramon Q. Avancena Jr. Hall of Justice
Bonifacio Drive, Iloilo City
I.S NO:_______________________

The undersigned Chief of Police, Philippine National Police. Lambunao Police Station,
Lambunao, Iloilo after having been duly sworn in accordance to law, would like to file a complaint
for RECKLESS IMPRUDENCE RESULTING TO HOMICIDE AND LESS SERIOUS
PHYSICAL INJURIES against MATEO ESTER, of legal age, married and a resident of Don
Esteban Lapuz, La Paz, Iloilo City. The incident happened on last March 28, 2006 at about 4
o’clock in the afternoon Brgy. Cubay, Lambunao, Iloilo, Philippines.

RICARDO DALISAY
Police Inspector
Chief of Police

ATTACHMENTS:
1. Excerpt From the Police Blotter
2. Joint Affidavit
3. Medical Certificate
4. Death Certificates

SUBSCRIBED AND SWORN to me this 16th of July 2017 at Iloilo City.

ATTY. KHRISTOPHER IAN MAGBOO


PROSECUTOR – I
REPUBLIC OF THE PHILIPPINES
PHILIPPINE NATIONAL POLICE
OTON POLICE STATION
OTON, ILOILO

The Provincial Prosecutor of Iloilo


Ramon Q. Avancena Jr. Hall of Justice
Bonifacio Drive, Iloilo City

I.S NO:_______________________

The undersigned Chief of Police, Philippine National Police. Lambunao Police Station,
Lambunao, Iloilo after having been duly sworn in accordance to law, would like to file a complaint
for RAPE WITH HOMICIDE against CARLO BUENO, of legal age, and a resident of Cagbang,
Oton, Iloilo. The incident happened on last March 29, 2007 at about 8:30 in the evening at Brgy.
Cubay, Lambunao, Iloilo, Philippines.

KHRISTOPHER IAN MAGBOO


Police Inspector
Chief of Police

ATTACHMENTS:
1. Excerpt From the Police Blotter
2. Joint Affidavit
3. Affidavit of the Witness
4. Post Mortem Report
5. Death Certificates
6. Certificate of Live Birth

SUBSCRIBED AND SWORN to me this 16th of April 2007 at Iloilo City.

LUCKYME PANCIT CANTON


PROSECUTOR – I

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