Beruflich Dokumente
Kultur Dokumente
BRANCH 84
Hall of Justice Congressional Road Brgy. 173
Congress District 1, North Caloocan City
For Inquiries-09757301414
DENNIS J. RAFA
Presiding Judge
1st Endorsement
29 November 2018
Respectfully referred to: 1.) Station Commander, Caloocan City Police Station
2.) The Director, National Bureau of Investigation, Manila; 3.) The Chief, CIDG, Camp
Crame, Quezon City. Fail not to serve this Warrant of Arrest within ten (10) days from
receipt hereof, requesting for a return of the same within ten (10) days from the
expiration of said period pursuant to Section 4, Rule 113, Rules on Criminal Procedure.
PRIMITIVA D. GABRIEL-ELLORANDO
Branch Clerk of Court
REPUBLIC OF THE PHILIPPINES
NATIONAL CAPITAL JUDICIAL REGION
METROPOLITAN TRIAL COURT
BRANCH _____, CALOOCAN CITY
DATA SHEET
Name: ____________________________________Sex:_________Age:___________
First name Middle Name Surname
Address: ______________________________________________________________
Date of Birth: ____________Place of Birth: ___________________________________
Provincial Address: ______________________________________________________
Mother’s Maiden name: ______________ Father’s Name: _______________________
Height: ____ Weight: ____ Educational Attainment: ____________________________
Civil Status: _____________ Name of Spouse, if any: __________________________
Occupation: ______________ Name of Employer/Company: _____________________
Address of Employer/Company: ____________________________________________
FINGER PRINTS
RIGHT HAND
______________________________________________________________________
XXXXX THUMB : INDEX : MIDDLE : RING : LITTLE: XXXXX
LEFT HAND
______________________________________________________________________
XXXXX THUMB : INDEX : MIDDLE : RING : LITTLE: XXXXX
REPUBLIC OF THE PHILIPPINES
NATIONAL CAPITAL JUDICIAL REGION
______________ TRIAL COURT
_________________________________
Affiant
SUBSCRIBED AND SWORN to before me, this ____ day of ___________, 20_______
at the Caloocan City, Metro Manila.
NOTARY PUBLIC
Doc. No. ___________
Page No. ___________
Book No. _________
Series of 20_______
One (1) comfort room door at 2 doors (kwarto);
One (1) stainless exhaust;
One (1) plastic drum;
Four (4) electrical sockets;
Double sided hardiflex plywood;
Aluminum frame;
Insulation;
Four (4) pcs. AVR;
Several pieces of plywood and wood;
Two (2) pvc pipes;
Assorted school supplies;
Pre-painted roofings, steel fence and matting;
Steel Trusses;
Assorted angular/ flat bar;
Set of sliding door;
Circuit breaker.
All belonging to MARILYN M. VEGIM, to the damage and prejudice of the latter in the
total amount of P208, 350.00.
CONTRARY TO LAW.
Caloocan City, MM, September 24, 2018.
FERDINAND U. VALBUENA
City Prosecutor
DENNIS J. RAFA
Presiding Judge
1st Endorsement
29 November 2018
Respectfully referred to: 1.) Station Commander, Caloocan City Police Station
2.) The Director, National Bureau of Investigation, Manila; 3.) The Chief, CIDG, Camp
Crame, Quezon City. Fail not to serve this Warrant of Arrest within ten (10) days from
receipt hereof, requesting for a return of the same within ten (10) days from the
expiration of said period pursuant to Section 4, Rule 113, Rules on Criminal Procedure.
PRIMITIVA D. GABRIEL-ELLORANDO
Branch Clerk of Court