Republic of the Phlippines

NATIONAL POLICE COMMISSION

PHILIPPINE NATIONAL POLICE
CAUAYAN CITY POLICE STATION
Cauayan City, Isabela

COMPLAINTSHEET
1. Complaint No.: 2013-005 May 21, 2013
Date
2. Reported through 3. Previously Reported to Other Agency ____Yes x No,
x In person If Yes
_________ Telephone a) T o What Agency
_________ Other (Specify) b) By Whom
c) Date/Time
4. Nature of Complaint/Information. 5. Place of Occurence/Incident: 6. Date/Time:
STABBING INCIDENT Brgy District 1, Mabini St. May 21,2013/
Cauayan City 10:00AM

7. Name of Complainant/Informer: 8.Address: 9. Tel Number:

Maria Salud y Palad Brgy District 1,Mabini 09199228477
St,Cauayan City Isabela
10. Name/s of Victim/s 11. Age: 12.Sex 13. Address: 14. Tel Number:
ALFREDO SALUD y 40 : Brgy District 1, Mabini None
SALUDAREZ MALE St, Cauayan City,
Isabela
15. Name/s of Witness/es: 16. Address: 17. Tel Number:
1. Ryan Divina y Galviso 1. Brgy Cabaruan,Cauayan City None
2. Mark Gill Oania 2. Brgy District 2,Cauayan City None
18. Name/s of Suspect/s: 19. Alias 20. Sex 21. Age 22. Address:
Oliver Tolentino y Olive MALE 35 Brgy Union, Cauayan City, Isabela
Pabiling
23. Brief Narrative of Complaint/Information: ( Use Back Page, if necessary)
On May 21, 2013 at about 10:00 in the morning, a stabbing incident traspired at Brgy District 1,Mabini St, Cauayan
City Isabela wherein victim one Alfredo Salud y Saludarez, 40 years old, single, farmer and a resident of aforesaid
Brgy was stabbed by suspect one Oliver Tolentino y Pabiling, 35 years old, married, jobless and a resident of Brgy
Union, Cauayan City, Isabela. As a consequence thereof, the victim sustained two (2) stabbed wound in the body and
was rushed to Cauayan District Hospital,Cauayan City Isabela for medical treatment but pronouced dead on arrival
(DOA) by the attending Physician thereat. The suspect was arrested after the incident but the weapon used was not
recovered and he is now under the custody of this Office for investigation and proper disposition.
24. I CERTIFY that thew detail of the 25. Signature of complainant/Informer
complaint/information stated aboveare true
and correct to the best of my knowledge and
belief.
26.SUBSCRIBED AND SWORN TO before me 27Printed Name/Signature of Administering Ofr
this 22nd of May 2013, at Cauayan
City,Isabela PSUPT RAJAN AZPR S ROMERO
Chief of Police
28. Date/Time of Complainant/Informant 29. Printed Name/Signature of Receiving Officer
Recieved:
May 21, 2013/10:05AM SPO4 Bong Reyes/Desk Officer
30. Disposition:
Reffered to: Investigation section 31. Case Number: 2013-05
32. Referred by: SPO4 Rodante B Sinuto 33. Date/Time:
May 21, 2013/10:05AM
34. Referral Number: 35. Assigned to: 36. Printed Name,Rank, Designation and
005 Signature of Office Making Assignment/referral:

PO2 Arvin A Asuncion PSUPT RAJAN AZOR S ROMERO

Investigator-On-Case Chief of Police