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REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF JUSTICE
OFFICE OF THE CITY PROSECUTOR
GENERAL SANTOS CITY

ALVAN A. MOHAMAD
Complainant I.S. No. 01069
For: Homicide (Art.
249, Revised Penal
Code)
Vs

Cavahug X. Bugan
Respondent
x------------------------x

COMPLAINT-AFFIDAVIT

I, ALVAN A. MOHAMAD, of legal age, filipino, with home address at brgy. San Isidro
General Santos City, after being sworn to in accordance with law, hereby depose and
state that:

1. I am the father of Lance X. Mohamad as evidenced by his birth certificate


herein attached as “ANNEX A”,

2. I am executing this complaint-affidavit to charge Cavahug X. Bugan for


HOMICIDE defined and punished under Article 249 of Revised Penal Code
for the death of my son, Lance. At about 4:00 pm on January 14, 2023 the
offense was committed at Mabuhay Road, while Bugan was driving the car
above the limit and he hit a motorcycle drove by Lance.

3. After the accident Lance was rushed to the Elizabeth hospital and
pronounced dead on arrival (DOA) by the Doctor of the Elizabeth Hospital.

15 of January, 2023
ALVAN A. MOHAMAD
Offended Party

SUBSCRIBED AND SWORN to before me this 15 of January, 2023 at Genereal


Santos City Prosecutor Office. I HEREBY CERTIFY that I have Personally examined
the herein offended party and I am satisfied that they voluntarily executed and
understood their given affidavit.

FRANK EL BETS
Judge

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