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REPUBLIC OF THE PHILIPPINES

National Police Commission


Philippine National Police
National Capital Region Police Office
MANILA POLICE DISTRICT
DISTRICT INVESTIGATION AND DET MANAGEMENT DIVISION
VEHICLE TRAFFIC INVESTIGATION SECTION
Roberto Oca St. Port Area Manila
527-30-88/87
File No. 18-1432 Date: Oct 1, 2017

TRAFFIC ACCIDENT INVESTIGATION REPORT

WHERE Along southband lane of Maria Orosa St. corner Kalaw Ave. Malete, Manila
(Place of Accident)
WHEN SUNDAY OCT 1, 2017 1:46 PM Fair/Asphalt Side Impact
Day of Week Date Time Weather/ Road Type of Collision
WHAT Vehicle Versus Another Vehicle Pedestrian Object
x
Fatal Non-Fatal X Property Damage
PHYSICAL INJURIES
Number of Vehicles Involved:

Vehicle No. 1 Vehicle No. 2


Type of Vehicle Sedan Sedan
Make/Model Ford Mustang / 2017 Chevrolet Colorado / 2018
Plate Number SJ-0218 AS-2345
Classification Private Private
MV File Nr./ Sales Inv., 1432-0000768234 1402-0000056944
Registered Owner Enrick Dave Gudelano Edylene Aquino
Registered Address 1266 Lardizabal st. Sampaloc, Manila 1000-4 Leyte st. Sampaloc, Manila

Name of Driver ENRICK DAVE y GUDELANO EDYLENE y AQUINO


Address 1266 Lardizabal st. Sampaloc, Manila 1000-4 Leyte st. Sampaloc, Manila

Age / Nationality 21 years old / Filipino 21 years old / Filipino


Sex / Civil Status Male / Single Female / Single
Drivers License Nr., N02-02-008212 N04-09-00368
Expiry Date of DL 2019-02-18 2018-09-29
MV Damage Incurred Left side middle portion Left side portion
Injuries Sustain
Remarks

Fact of the case:


At about 2:15 PM of Oct 1, 2017 driver of V-1 and V-2 appeared before this office and reported the above caption
incident for investigation. The undersigned took cognizance of the case.

Investigation conducted by this office revealed that V-1 Ford Mustang with CS. No. SJ-0218 driven ENRICK DAVE y
GUDELANO and V-2 Chevrolet Colorado with plate No. AS-2345 driven by EDYLENE y AQUINO were both traversing southbound
lane of Maria Orosa. When these vehicles had reached a certain portion particularly at the corner of Kalaw Ave. in Malate, Manila. V2
driver veered to the right in avoiding hitting its front portion by another vehicle. As a result, the left side middle portion of V1 was
hit/bumped by V2. That due to the force of impact said vehicles incurred un-estimated amount of damages, none was reported injury.

Action taken: Both drivers were investigated and advised accordingly. This report is being issue upon request of said parties for
whatever legal purpose it may serve.

SPO4 JUAN DELA CRUZ


Investigator on case

Noted & Forwarded:

PS\NSP BRAULIO BASCO


Chief VTIS / CIDU MPD

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