Police Report Sample

Republic of the Philippines

NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
General Mariano Alvarez Municipal Police Station
General Mariano Alvarez, Cavite
GMAENovember 29, 2011
POLICE REPORT
SUBJECT: SHOOTING INCIDENT RESULTING TO DEATH
TO
: TO WHOM IT MAY CONCERN
--------------------------------------------------------I.

Time/Date/ Place Of Incident:

1. On or about 07:00PM oclock in the evening of 26 th day of
November 2011, along Governors Drive of Barangay San
Gabriel, General Mariano Alvarez, Cavite.

II. Victim/s:
1.) Rolando Grutas Cedro, 55 years old,
born on May 31,1956 native of magallanes sorsogon city,
married
Dispatcher of Bus at DNS shuttle Service inc,
Resident of Mabuhay 2000, Barangay paliparan,
Dasmarias, City, Cavite
III.

Suspect/s:
Unidentified malefactor/s

V.

WITNESSES:
No witness obtain,
Still for follow-up investigation;

IV. Involve Vehicle:

1.) One Mitsubishi Coaster Bus, Bearing Plate no. PYY 857,
color White and Blue,
Chassis number: BE439F-E61059
Motor Number: 4D34-E61059
Registered to: DNS SHUTTLE SERVICE INC.
Address: Paliparan II Dasmarias, City, Cavite

VI.

Synopsis
At about 07:20PM of November 26, 2011, a
Phone Call received by this station informing that an
alleged Shooting Incident Transpired along Governors
Drive of Barangay San Gabriel, this Municipality.
Elements of this Station together with the duty
investigator immediately proceeded at said place. Initial
investigation conducted disclosed that on or about 07:00
pm of this date while the victim driving one (1) DNS
Shuttle Service Coaster Bus, bearing plate number PYY857, heading west direction of the said road when
unidentified suspect/s arrived from opposite lane (in front
of Espaola Machine Shop in Barangay, Bulihan, Silang
Cavite) armed with short firearm and shot the victim six
(6) times. Suspect/s fled away going to south direction
(going Carmona). Victim rushed by our mobile patrol car

to San Jose hospital, Barangay Gavino Maderan this

municipality and later transferred to Asian Medic Family
Hospital and Medical Center in Dasmarias, Cavite. But
declared dead on arrival (DOA) by attending physician
Due to its six (6) shot of bullet to the body. Four (4) pcs of
spent/empty shell and three (3) bullet slugs of
undetermined caliber were recovered from the scene was
brought to the Provincial Crime Laboratory at Imus cavite
for the identification of the number of fire arm used.
SGD: JUANITO MINDANAO MAULION
This Police Report is being issued upon request of
subject person for any legal purpose it may serve.
Prepared by:
LUIS LIBOT
Police Officer

1
Investigator PNCO