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Republic of the Philippines }

Province of Tarlac }

AFFIDAVIT

I, PERCIVAL PORLUCAS, of legal age, Filipino, married, and a resident of


Bawa, Gerona, Tarlac, after having duly sworn to in accordance with law do hereby
depose and state and undertake that:

1. I am the Municipal Government Department Head I (LDRRMO) of the


Municipality of Gerona, as such, all properties in the said Department are now
under my custody and responsibility;

2. That one of the properties to which I am accountable is an ambulance


service vehicle and which is more particularly described as follows:

MAKE/TYPE OF BODY TOYOTA HIACE COMMUTER 3.0L DSL


MOTOR NO. 1KD2832529
CHASSIS NO. JTEJTO2P6J0011163
PLATE NO. CS#A9F766
COLOR WHITE

3. I am executing this affidavit to attest to the truth of the foregoing undertakings;

IN WITNESS WHEREOF, I have hereunto set my and this __ day of March 2017
in the Province of Tarlac, Philippines.

Affiant

SUBSCRIBED AND SWORN TO, before me this __ day of March 2017 in the
Province of Tarlac, Philippines.

Doc. No. ___;


Page No. ___;
Book No. ___;
Series of 2017.
Republic of the Philippines }
Province of Tarlac }

AFFIDAVIT OF UNDERTAKING

I, FRANCISCO MANUEL MADRIAGA, of legal age, Filipino, married, and a


resident of Brgy. , Gerona, Tarlac, after having duly sworn to in accordance with law
do hereby depose and state and undertake that:

1. That I am the accused in NPS Docket No. III-18-INQ-18J-0833 for Physical


Injuries, filed before the Office of the Provincial Prosecutor, Tarlac City;

2. That I undertake to appear before the Honorable Court whenever so required by


the Honorable Court or required by the rules;

3. That I have no intention whatsoever to Jump Bail and I undertake to attend all
hearings of the case;

4. That in the event that I have failed to attend any hearing of the said case after
due notice and without any valid justification the same shall be considered as
waiver on my part to be present during the said hearing and the hearing maybe
proceed without my presence;

5. That I am executing this affidavit in order to established the fact that the truth
of the foregoing and for all legal intents and purposes it may serve.;

IN WITNESS WHEREOF, I have hereunto set my and this ___th day of


___________________ in the Province of Tarlac, Philippines.

FRANCISCO MANUEL MADRIAGA


Affiant

SUBSCRIBED AND SWORN TO, before me this ___th day of


___________________ in the Province of Tarlac, Philippines.

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2018.
Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
GERONA POLICE STATION

October 16, 2018

CERTIFICATE OF DETENTION

To whom It May Concern:

THIS IS TO CERTIFY that Francisco Madriaga y Manuel, 37 years old, married,


resident of Brgy. Poblacion 1, Gerona, Tarlac was arrested on October 14, 2018 for the
crime of Resisting Arrest and Disobedient Upon Agent of person in Authority and
Physical Injury. Subject person is presently under the custody of this station.

For your information and reference.

Francisco D. Fronda Jr.


Police Officer II
Jailer

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