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Republic of the Philippines

National Police Commission


PHILIPPINE NATIONAL POLICE
MAGUINDANAO POLICE PROVINCIAL OFFICE
DATU ODIN SINSUAT MUNICIPAL POLICE STATION
Tamontaka, Datu Odin Sinsuat, Maguindanao

Date: August 14, 2020

IMPOUNDING RECEIPT

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that I received this date from Mr. Ranel Balocan Padayhag, 36
years old, male, married, merchandizer and resident of Bulalo, Sultan Kudarat, Maguindanao
one (1) unit of motor vehicle described below:

Owner: Aida T. Sariba l.

Driver: Ranel Balocan Padayhag .

Address: Lomboy, Brgy. Awang, Datu Odin Sinsuat, Maguindanao.

Make: Kia .

Motor/Chassis Nr.: KN3HNP6N55K080973 .

Engine Nr.: J35049533 .

Plate Nr.: JAC 3534 .

OR/CR Nr.: 289442451 .

Subject vehicle was impounded at this PNP COMPAC of Datu Odin Sinsuat MPS for
safekeeping subject for the investigation/verification and proper disposition.

With conformity:

Ranel Balocan Padayhag


Owner/Driver/Possessor

PCpl Dimaciding Ali S Succor Jr


Investigator-On-Case

Note: Subject MV shall only be released upon presentation of its pertinent original documents.

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