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    Investigation Form - City Prosecution Office

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    Frances Sanchez
    This document is an investigation data form from the Office of the City Prosecutor in Tanjay City regarding a complaint filed by Zenaida Piñero against Emily Solis and Christian Roscher. Zenaida alleges that Emily and Christian violated other light threats laws on May 2, 2019 at 6:30 AM and 9:00 AM in Lo-Oc, Dumaguete City. Delfin Piñero is identified as a witness to the incident. Zenaida certifies that the information provided is true and correct and that she has not previously filed any similar complaints or actions regarding this case.

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    Investigation Form - City Prosecution Office

    Uploaded by

    Frances Sanchez
    93 views1 page
    This document is an investigation data form from the Office of the City Prosecutor in Tanjay City regarding a complaint filed by Zenaida Piñero against Emily Solis and Christian Roscher. Zenaida alleges that Emily and Christian violated other light threats laws on May 2, 2019 at 6:30 AM and 9:00 AM in Lo-Oc, Dumaguete City. Delfin Piñero is identified as a witness to the incident. Zenaida certifies that the information provided is true and correct and that she has not previously filed any similar complaints or actions regarding this case.

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    Investigation Form - City Prosecution Office

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    This document is an investigation data form from the Office of the City Prosecutor in Tanjay City regarding a complaint filed by Zenaida Piñero against Emily Solis and Christian Roscher. Zenaida alleges that Emily and Christian violated other light threats laws on May 2, 2019 at 6:30 AM and 9:00 AM in Lo-Oc, Dumaguete City. Delfin Piñero is identified as a witness to the incident. Zenaida certifies that the information provided is true and correct and that she has not previously filed any similar complaints or actions regarding this case.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    93 views1 page

    Investigation Form - City Prosecution Office

    Uploaded by

    Frances Sanchez
    This document is an investigation data form from the Office of the City Prosecutor in Tanjay City regarding a complaint filed by Zenaida Piñero against Emily Solis and Christian Roscher. Zenaida alleges that Emily and Christian violated other light threats laws on May 2, 2019 at 6:30 AM and 9:00 AM in Lo-Oc, Dumaguete City. Delfin Piñero is identified as a witness to the incident. Zenaida certifies that the information provided is true and correct and that she has not previously filed any similar complaints or actions regarding this case.

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    © All Rights Reserved
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    Republic of the Philippines

    Department of Justice
    OFFICE OF THE CITY PROSECUTOR
    Tanjay City

    INVESTIGATION DATA FORM

    To be accomplished by the Office

    DATE RECEIVED: NPS DOCKET NO: _____________


    (stamped and initialed): _____________________ Assigned to: ___________________
    Time Received: ______________________________ Date Assigned: _________________
    Receiving Staff: ______________________________
    _______________________________________________________________________________

    To be accomplished by complaint/ counsel/ law enforcer


    (Use back portion if space is not sufficient)

    COMPLAINANT: Name, RESPONDENT/S: Name,


    Sex, Age & Address Sex, Age & Address
    Zenaida Piñero, Female, 1. Emily Solis, Female,
    Oracion Drive, Lo-Oc, Dumaguete City Oracion Drive, Lo-Oc, Dumaguete
    City;
    2. Christian Roscher, Male

    LAW/S VIOLATED: WITNESS:


    Other Light Threats Delfin Piñero, Oracion Drive, Lo-oc
    Dumaguete City

    DATE & TIME OF COMMISSION: PLACE OF COMMISSION:


    May 2, 2019 at 6:30 A.M and 9:00 A.M. Lo-Oc, Dumaguete City

    1. Has a similar complaint been filed before any other office?* YES _____ NO X
    2. Is this complaint in the nature of a counter-charge?* YES _____ NO X
    If yes, indicate details below
    3. Is this complaint related to another case before this office?* YES _____ NO X
    If yes, indicate details below

    NPS Docket No: _________________


    Handling Prosecutor: _____________

    CERTIFICATION

    I CERTIFY, under oath, that all the information on this sheet are true and correct to the best of my
    knowledge and belief, that I have not commenced any action or filed any claim involving the same issues in any court,
    tribunal, or quasi-judicial agency, and that if I should thereafter learn that a similar action has been filed and or is
    pending, I shall report that fact to this Honorable Office within five (5) days from knowledge thereof.

    (Signature over printed name)

    SUBSCRIBED AND SWORN TO before me this _____________, in Dumaguete City, Philippines. Affiant
    exhibiting his _____________________________.

    Doc No.__
    Page No.__
    Book No.__
    Series of 2019.

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