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(LETTER HEAD)

Mr. JUAN P. DELA CRUZ BLGF Admin. Case No. CAR-2017-001


Municipal Treasurer of __________ For: Serious Dishonesty and Grave
Province of ___________________ Misconduct
Respondent.
x---------------------------------------------x

REPORT OF INVESTIGATION
After conduct of the formal investigation of the above-entitled case, this Office respectfully
submits its Report of Investigation and recommendation, to wit:

I. STATEMENT OF THE CASE

On 30 October 2017, Executive Director (Full Name), Bureau of Local Government


Finance, issued BLGF Admin. Case No. CAR-2017-001 which formally charged
respondent Juan P. Dela Cruz, Municipal Treasurer of ___________, Province of
____________, with Serious Dishonesty and Grave Misconduct, for (i.e. for claiming his
Representation and Travel Allowance (RATA) for the month of September 2016 in the
amount of Ten Thousand Pesos (P10,000.00) despite using a government service
vehicle).

Under Memorandum dated 03 November 2017, Executive Director (Surname) directed


the conduct of Formal Investigation on the case and designated _____________,
(position), Bureau of Local Government Finance, as Hearing Officer and _____________,
Special Investigator III, Bureau of Local Government Finance - CAR, as Prosecutor.

II. NARRATION OF MATERIAL FACTS

xxx

III. ARGUMENTS AND EVIDENCE PRESENTED BY THE PROSECUTION

xxx

IV. ARGUMENTS AND EVIDENCE PRESENTED BY THE RESPONDENT

xxx

V. FINDINGS AND RECOMMENDATION

xxx
Premises considered, it is respectfully recommended that Juan P. Dela Cruz, Municipal
Treasurer of ___________, Province of ____________, be held guilty of Serious
Dishonesty and Grave Misconduct and be meted out the penalty of dismissal from the
service with its accessory penalties of cancelation of eligibility, forfeiture of retirement
benefits (except accrued leave credits/terminal leave and personal contribution from the
GSIS, if any), perpetual disqualification from reemployment in government service and
bar from taking any Civil Service examination.

Respectfully submitted.

07 November 2017.

(Sgd.)
Hearing Officer

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