Republic of the Philippines

Department of the Interior and Local Government

PHILIPPINE NATIONAL POLICE
Regional Office 1
Carlatan, San Fernando, La Union
Tel. No. 026-2737-288

COMPLAINT SHEET

Complaint No. 568 Date: March 04, 2021

1. REPORTED THRU: 2. Previously Reported to other agency:

[ • ] In Person [ ] Yes [ • ] No
[ • ] Telephone If yes;
[ ] Other a. To what agency
_____________________________
b. BY whom
__________________________________
c. Date/time
__________________________________

3. Nature of Complaint/Info 4. Place of Occurrence/Incident 5. Date/time

Bank Robbery Ili Sur, San Juan, La Union March 3,

2021/ 2:00
PM
6. Name of Complainant/Informer 7. Address 8. Tel No.
Dezena Roaquin Naguituban, San Juan, La Union 0909874750
4
9. Name(s) of Victim(s) 10. Age 11.Sex 12. Address 13. Tel No.

Manuelito Sagun 54 male Cacapian, San Juan, 09109767583

La Union

14. Name(s) of Suspect(s) 15. Alias 16.Sex 17.Age 18. Address

Saldy Lanoria Demong Male 48 Cabaroan, San Juan,
La Union
Samuel Lanoria Tokmol Male 39 Cabaroan, San Juan,
La Union
19. Name(s) of Witness(es) 20. Address 21. Tel No.
Dezena Lanoria
Naguituban, San Juan, La
Union
Loida Cabanban Bacsayan, San Juan, La
Union
Solomon Cruz San Gabriel, La Union
Angelita Carino Panicsican, San Juan, La
Union
22. Brief facts/narrative of complaint (Use back page, if necessary)

That on March 03, 2021, approximately 2:00 in the afternoon, all around is busy in depositing and
withdrawing money at the Banco de San Juan. Suddenly a car came and stopped near the
entrance of the bank. In few seconds, four masked men with weapons entered the bank. Wherein
victim one, Manuelito Sagun Security Guard, was shot by one of the suspects, as a result the
victim sustained multiple gunshot wound in the different parts of the body. Then after that, they
took positions and warned the people of dire consequences if they tried to move. They told
everyone to raise hands and turn their faces towards the wall. Two of the men went to the
Manager’s office and demanded the kits to the strong room; they had snapped the connections of
all the telephones. The robbers then entered the strong room and instructed the cashier to open
the cash box. They took all the cash and filled it in the bags. Then, hurriedly all the robbers left
the bank using their getaway vehicle and warned everyone that it anyone tried to follow, they
would kill them.

23. Remarks of the receiving officer (especially if reporter refused to be identified):

a. Dialect (Accent): ___Iloko, Tagalog_____

b. Female/Male: Male
c. Possible Age: ____45______________
d. Possible place where the caller is: ___Banco De San Juan_________
e. Intoxicated or not: _______no______________________________
f. Others:: _________________________________________________________

24. I certify that the details of the 25. SUBSCRIBED AND SWORN to before me
complaint/info stated above are true and this _4th day of March, 2021 at Carlatan,
correct to the best of my knowledge. Regional Police Station.

DEZENA _ROAQUIN_______
Printed Name & Signature of Complainant/Informer
26. Date/Time/Complaint/Info Received
March 4, 2021, 9:00 AM
27. Assigned to:
27. Printed name/Signature of Receiving
Officer
PSSg. JAKE SALDY MONTEFALCO
29. Noted by:

Pmsgt. JUDE BARLONGAY COP SANDY ANGENETTE CATBAGAN

CONFIDENTIAL