ANNEX ____

CONG. SIMEON G. TORRIBIO MEMORIAL HOSPITAL

CARMEN BOHOL

MEDICO LEGAL CERTIFICATE

August 12, 2019

TO WHOM IT MAY CONCERN:

This is to certify that Mr. Macario Y. Rosales., 70 years old,

with residence at Brgy. Bugsok, Sierra Bullones, Bohol, was
examined and was found dead on arrival in this hospital on
August 10, 2019 with the following findings:

- multiple cuts on the upper back, left shoulder and front

neck
- loss of blood

Issued this 12th day of August 2019, for whatever purpose

it may serve.

This certificate is issued by authority of the Director:

DR. MARCOS FUENTEBELLA

Resident Physician

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