Cuyan, Justin R.

BDB CDITECT9 June 14,2023

FOR POLICE BLOTTER ENCODER USE ONLY
BLOTTER ENTRY NUMBER
123 Philippine National Police
TYPE OF INCIDENT
Murder INCIDENT RECORD FORM
INSTRUCTIONS: Refer to PNP SOP on ‘Recording of Incidents in the Police Blotter’ in filling up this form. This Incident Record Form (IRF) may be reproduced, photocopied,
and/or downloaded from the DIDM website, www.didm.pnp.gov.ph.
DATE AND TIME REPORTED: DATE AND TIME OF INCIDENT:
June 14, 2023 11:14 am June 14, 2023 8:00 am ITEM “A” - REPORTING PERSON
FAMILY NAME FIRST NAME MIDDLE NAME QUALIFIER NICKNAME
C C C Boy C

CITIZENSHIP SEX/GENDER CIVIL STATUS DATE OF BIRTH (DD/MM/YY) AGE PLACE OF BIRTH HOME PHONE MOBILE PHONE
Filipino Male Single 05/09/2002 21 Baguio City 0912413613423 092356273462

CURRENT ADDRESS (HOUSE NUMBER/STREET) VILLAGE/SITIO BARANGAY TOWN/CITY PROVINCE

35 Floresca Trancoville Baguio City Benguet

OTHER ADDRESS (HOUSE NUMBER/STREET) VILLAGE/SITIO BARANGAY TOWN/CITY PROVINCE

18 Bakong Beckel La Trinidad Benguet

HIGHEST EDUCATIONAL ATTAINMENT OCCUPATION ID CARD PRESENTED EMAIL ADDRESS (If Any)
College Graduate Call center agent PhilHealth adfge@gmail.com

ITEM “B” - SUSPECT DATA

 CHECK HERE IF THERE IS NO SUSPECT INVOLVED AND THEREAFTER PROCEED TO ITEM “C”.
 CHECK HERE IF THERE ARE TWO OR MORE SUSPECTS. THEREAFTER, USE ADDITIONAL INCIDENT REPORT FORM SHEETS FOR EACH OF THE SUSPECTS.
FAMILY NAME FIRST NAME MIDDLE NAME QUALIFIER NICKNAME
A A A Boy A

CITIZENSHIP SEX/GENDER CIVIL STATUS DATE OF BIRTH (DD/MM/YY) AGE PLACE OF BIRTH HOME PHONE MOBILE PHONE
Filipino Male Single 08/01/200 23 Baguio City 09365345345 091462357346

CURRENT ADDRESS (HOUSE NUMBER/STREET) VILLAGE/SITIO BARANGAY TOWN/CITY PROVINCE

36 Floresca Trancoville Baguio City Benguet

OTHER ADDRESS (HOUSE NUMBER/STREET) VILLAGE/SITIO BARANGAY TOWN/CITY PROVINCE

HIGHEST EDUCATIONAL ATTAINMENT OCCUPATION WORK ADDRESS RELATION TO VICTIM EMAIL ADDRESS (If Any)
College Graduate Farmer Trancoville baguio City Neighbor dfjsaoidfh@gmail.com

IF AFP/PNP PERSONNEL: RANK UNIT ASSIGNMENT GROUP AFFILIATION WITH PREVIOUS CRIMINAL RECORD? [ ] Yes [ ] No STATUS OF PREVIOUS CASE
(If Yes, Pls. Specify)

HEIGHT WEIGHT COLOR OF EYES DESCRIPTION OF EYES COLOR OF HAIR DESCRIPTION OF HAIR UNDER THE INFLUENCE?
162.8cm 60kg Brown Black  NO  DRUGS  LIQUOR
 OTHERS

FOR CHILDREN IN CONFLICT WITH THE LAW

NAME OF GUARDIAN GUARDIAN ADDRESS HOME PHONE MOBILE PHONE

DIVERSION MECHANISM

OTHER DISTINGUISHING FEATURES (DESCRIBE IN DETAIL CLOTHES, VEHICLE, SUNGLASSES, WEAPON/S, SCARS, AND OTHER DATA OR ACTIVITY O F THE SUSPECT/S WHICH WERE OBSERVED BY THE
REPORTING PERSON AND/OR WITNESS/ES TO IDENTIFY THE SUSPECT/S. THESE ARE IMPORTANT AND MAY BECOME EVIDENCE TO IDENTIFY, AND LINK TO THE CRIME, THE SUSPECT/S. USE
ADDITIONAL SHEET/S IF NECESSARY)

--------------------------------------CUT HERE. ISSUE THIS RECEIPT TO THE REPORTING PERSON-------------------------------------------

BLOTTER ENTRY NUMBER
123
THIS CERTIFIES THAT
REPORTED AN INCIDENT TO BE
RECORDED IN THE POLICE BLOTTER
WHICH INVOLVES
DATE/TIME OF REPORT:
June 14, 2023/11:14am
INCCIDENT RECORD TRANSACTION RECEIPT
NAME OF REPORTING PERSON: ADDRESS OF REPORTING PERSON:
C 35 Floresca Trancoville Baguio City
TYPE OF INCIDENT:
Murder
AND
RECORDED BY:
PSSG/CUYAN, JUSTIN R./
DATE/TIME OF INCIDENT: PLACE OF INCIDENT:
June 14, 2023/8:00am Floresca St Baguio City
RANK/NAME/SIGNATURE OF DESK OFFICER
 ITEM “C” – VICTIM DATA
 CHECK HERE IF THE REPORTING PERSON (ITEM “A”) IS THE VICTIM. PROCEED TO ITEM “D”.
 CHECK HERE IF THERE ARE TWO OR MORE VICTIMS. USE ADDITIONAL INCIDENT REPORT FORM SHEETS FOR THE DATA OF THE ADDITIONAL VICTIMS.
FAMILY NAME FIRST NAME MIDDLE NAME QUALIFIER NICKNAME
B B B Boy Bawang

CITIZENSHIP SEX/GENDER CIVIL STATUS DATE OF BIRTH (DD/MM/YY) AGE PLACE OF BIRTH HOME PHONE MOBILE PHONE
Filipino Male Single 09/12/2001 21 Baguio City 09124723534 0923423523

CURRENT ADDRESS (HOUSE NUMBER/STREET) VILLAGE/SITIO BARANGAY TOWN/CITY PROVINCE

34 Floresca Trancovile Baguio City Benguet

OTHER ADDRESS (HOUSE NUMBER/STREET) VILLAGE/SITIO BARANGAY TOWN/CITY PROVINCE

HIGHEST EDUCATIONAL ATTAINMENT OCCUPATION WORK ADDRESS EMAIL ADDRESS (If Any)
College Graduat

ITEM “D” - NARRATIVE OF INCIDENT

BLOTTER ENTRY NUMBER TYPE OF INCIDENT TIME DATE PLACE OF INCIDENT
123 Murder 8:00 am June 14, 2023 Floresca Trancoville Baguio City

ENTER IN DETAIL THE NARRATIVE OF THE INCIDENT OR EVENT, ANSWERING THE WHO, WHAT, WHEN, WHERE, WHY AND HOW OF REPORTING. (USE ADDITIONAL SHEET/S IF NECESSARY)

On the above-mentioned date and time, I, Officer Justin R. Cuyan received a report from a concerned individual, identified as C, who resides at
35 Floresca Trancoville Baguio City. C reported witnessing a murder incident involving two neighbors, identified as A and B, in the
neighborhood. According to C's statement, the incident took place at approximately 8:00 am. C stated that they were present at their residence
when they heard raised voices emanating from A's house, located at 34 Floresca Trancoville Baguio City. Concerned about the commotion, C
looked out their window and observed A and B engaged in a heated argument. As the argument escalated, C witnessed A, in a fit of rage, inflict
fatal injuries on B. A used a deadly weapon, described as a screw driver, to attack B multiple times. The assault resulted in B's death at the scene.
C provided detailed information about the sequence of events leading up to the incident. Upon witnessing the act, C was gripped with shock and
fear. They immediately contacted the local police station to report the incident and provide crucial information for the investigation.

Actions Taken:
Upon receiving C's report, I immediately dispatched a police team to the scene of the incident at 34 Floresca Trancoville Baguio City. They were
instructed to secure the area, preserve the crime scene, and provide necessary assistance to the victim. Arriving at the scene, the responding
officers found B lying lifeless on the floor with evident signs of fatal injuries. Emergency Medical Services were contacted, and medical personnel
confirmed B's death at the scene. A, the alleged perpetrator, was not present at the location when the police team arrived. A search for the suspect
was immediately initiated, and neighboring units were notified to be on the lookout for A. Additionally, an all-points bulletin has been issued to
other police stations in the vicinity.

Additional Information:
Crime Scene Investigation (CSI) personnel were called to the scene to collect evidence, document the crime scene, and process any potential
forensic evidence.
Witness statements from C and other potential witnesses in the neighborhood will be obtained to further support the investigation.
The body of B has been transferred to the local morgue for autopsy to determine the cause of death and collect additional forensic evidence.
Conclusion:
The incident involving the murder of B, witnessed by C, has been documented, and appropriate legal action will be taken against A, who is
considered the primary suspect. This case will be thoroughly investigated to ensure justice is served.

AUTHENTICATION
I HEREBY CERTIFY TO THE CORRECTNESS OF THE NAME/SIGNATURE OF REPORTING PERSON NAME/SIGNATURE OF DESK OFFICER
FOREGOING TO THE BEST OF MY KNOWLEDGE AND
C C. C Justin R. Cuyan
BELIEF.

CASE DISPOSITION (For Chief/Head of Office Use Only)

CHIEF Of STATION/OFFICE INSTRUCTIONS NAME OF DESIGNATED INVESTIGATOR-ON-CASE NAME OF CHIEF OF STATION/OFFICE
PSI Juan R. Delacruz PO2 Carl Dehesus Dolores MPS

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INSTRUCTIONS TO REPORTING PERSON
Keep this Incident Record Transaction Receipt (IRTR). An update of the progress of the investigation of the crime or incident that you reported
will be given to you upon presentation of this IRTR. For your reference, the data below is the contact details of this police station.

Name of Police Station Dolores MPS Telephone 093463463345

Investigator-on-Case PO2 Carl Dehesus Mobile Phone 092356345492
Name of Chief/Head of PSI Juan R. Delacruz 092347346728
Mobile Phone
Office

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