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FORM  NO.

53 – HOMICIDE

              INFORMATION 

    The undersigned...........................................................accuses .........................................


of the crime of Homicide, defined and penalized under ART.249 of the Revised Penal
Code, committed as follows

    That on or about the .............day if ……......19.............at around 9:00 in the evening ,


in the Municipality of  …………….……........ Province of........................................and
within  the jurisdiction of this Hon. Court , the said accused with intent to kill and
without any justifiable cause, did then and there assault, attack , and wound one
………………………………………........with an icepick, in front of the public market
inflicting a mortal wound that penetrated the heart and which resulted in the
instantaneous death of the said .............................................

 Contrary to law.
............19……......
                                      ...........................................
                                   Provincial Fiscal

 Witnesses; 
.............................................................
............................................................
...........................................................

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