REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF JUSTICE
OFFICE OF THE CITY PROSECUTOR
MANILA

INVESTIGATION DATA FORM

To be accomplished by the Office

DATE RECEIVED
(stamped and initiated): ___________________ ____- NPS DOCKET NO.:
Time Received: __________________________ Assigned to:
Receiving Staff: __________________________ Date Assigned:
x----------------------------------------------------------------------x
To be accomplished by complainants/counsel/law enforcer
(Use back portion if space is no sufficient)

COMPLAINANT/S: Name, Sex, Age & Address RESPONDENT/S: Name, Sex, Age & Address

JUNAR C. MERCADO, with postal address at_
Vision Properties Development Corporation,____
2nd Floor, Lawyers Cooperative Building,_______
No. 459 Quezon Avenue, Brgy. Sto. Domingo, __
Quezon City _____________________________
________________________________________
ABRAHAM C. MARI, ALAIN C. DORADO,
________________________________________
and ELGIN N. GUECO, with office address at
________________________________________
25th Floor Alliance Global Tower, 36th Street
________________________________________
corner 11th Avenue, Uptown Bonifacio,
________________________________________
Taguig City, Metro Manila
________________________________________
________________________________________

OFFENSE/s COMMITED/LAW/s VIOLATED: WITNESS/es: Name & Address

ROBBERY and/or EXTORTION_____ _ JUNAR C. MERCADO; DOCUMENTARY
________________________________________ EVIDENCE______________________________
________________________________________ ________________________________________

DATE & TIME of COMMISSION: PLACE of COMMISSION:

________________________________________
Sometime in 2016; July 26, 2017
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
Quezon City
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________

1. Has a similar complaint been filed before any other Office/s YES_____ NO _XX_
2. Is this complaint in the nature of a counter-affidavit? YES_____ NO _XX_
3. Is this complaint related to another case before this office? YES_____ NO _XX_

If yes, indicate details below.

I.S./NPS Docket No.

Handling Prosecutor:

C E RT I FI CAT I O N
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 ______ day of _______________, 2013 in the City of Manila.

_______________________________________
Administering Prosecutor/Officer
*1,2,3 and CERTIFICATION need not be accomplished for inquest cases