Republic of the Philippines

PALAWAN STATE UNIVERSITY

THE FORENSIC BALLISTICS LABORATORY
Puerto Princesa City

BALLISTICS REPORT NO. _______

Subject: ________________________________________________________________
___________________________________________________________

Requesting party:

_________________
_________________
_________________

Specimens submitted:

1. _______________________________________________________
____________________________________________________
2. _______________________________________________________
______________________________________________________
3. _______________________________________________________
______________________________________________________
4. ________________________________________________________
_________________________________________

Victim: __________________________________________ (Deceased)

(Note: if the victim is deceased, the subject on the report should probably be: Re fatal shooting of Name of
victim )

Purpose/s:

1. _________________________________________________________
_________________________________________________________
________________________________________________
2. _________________________________________________________
3. _________________________________________________________

Findings and Conclusions:

1. _________________________________________________________
2. _________________________________________________________
3. _________________________________________________________

Remarks:
All the specimens submitted are being retained in this office until the release authorized.

Respectfully submitted:

Crmgst Ruben C Ballester

Firearm Examiner

Approved:

VILMA VENUS G. ANDOY Ph. D

Chief Forensic Ballistics Laboratory