Philippine National Police Cabanatuan City Police Station

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Republic of the Philippines

NATIONAL POLICE COMMISSION


PHILIPPINE NATIONAL POLICE
CABANATUAN CITY POLICE STATION
Cabanatuan City, Nueva Ecija

CCPS January 4, 2020

CERTIFICATION

TO WHOM IT MAY CONCERN:


THIS IS TO CERTIFY that based on the Police Blotter of this station, as shown on Page No. 102,
under Entry No. C- 01234, dated January 4, 2020, the following entries of events exists to wit:C- 01234/
January 4, 2020/8:00 am

STABBING INCIDENT

On January 4, 2020 around 8:00 in the morning, one (1) Carlos Santos y Gomez, male, married,
25 years old, tricycle driver, and presently residing at Brgy. Magsaysay Norte, Cabanatuan City,
personally appeared and reported that there was a stabling incident transpired at Brgy. Supermarket,
Cabanatuan City, wherein the victim is his cousin, identified as one (1) Jose Santos y Medina, male,
married, 22 years old, market vendor, and presently residing at Brgy. Sta. Arcadia Cabanatuan City.

The victim who sustained stabbed wounds was rushed to Paulino J. Garcia Memorial Medical &
Research Center, Cabanatuan City for medical treatment.

SGD. CARLOS SANTOS Y GOMEZ


(Reportee)
DISPOSITION:
Mobile Patrol Car No. 606 has been directed thru radio call to proceed to the scene of the crime,
purposely to verify the veracity of the reported incident, and upon confirmation, the case was assigned
to the duty investigator on the said date.

This certification is issued upon the request of subject person for whatever legal purpose and
intent it may serve.

Prepared By:
CRUZ, JESSICA A.
Police Officer 3
Desk Officer

NOTED BY:
JUAN S. DELA CRUZ
Police Lieutenant Colonel
Chief of Police

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