Blotter Report SAMPLE

Republic of the Philippines NATIONAL POLICE COMMISSION PHILIPPINE NATIONAL POLICE Bacolod City Police Station Bacolod City

OFFICE OF THE CHIEF OF POLICE

POLICE REPORT: As per report and records of events available in the official police blotter of this office there appears the following data, to with: POLICE BLOTTER SERIES OF BLOTTER PAGE NUMBER: - BLOTTER ENRY NUMBER: - Date & Time Entered: - -

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- 2016 123 01-1137 4 January 2016 4:30 p.m.

FACTS OF THE CASE: (GRAVE THREATS): One JUSTIN BAYBER y GOMEZ, 34 years old, married, of #88 Mayamanville, Bacolod City, Negros Occidental, appeared this station and reported that he was allegedly physically threatened by SEAN MALIK y REYES, on or about 3:00 p.m. this date. Entry Nr. 01-1137/4 Jan 16/4:30PM: Person of JUSTIN GOMEZ BAYBER appeared this office and reported that the suspect who threatened him was SEAN REYES MALIK. 09- 1141/29 Sept 02/5:00PM: (RE: 091135): Initial investigation conducted by this station at the place of incident disclosed that JUSTIN BAYBER and SEAN MALIK had an altercation at the University of Saint La Salle Integrated School, wherein said suspect gesticulated a pocket knife at the former. Incident occurred on or about 3:00PM this date.

Bacolod City, Negros Occidental, 04 January 2016 Prepared by:

Francis Lorenzo Senior Police Officer II