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Republic of the Philippines

National Police Commission


Philippine National Police
Regional Crime Laboratory Office 5
Camarines Sur Provincial Crime Laboratory Office
Concepcion Grande Naga City

CHEMISTRY REPORT NO: ____________

CASE: Alleged Violation of RA 9165 SUSPECT/S:

VICTIM/S :

TIME AND DATE RECEIVED:

REQUESTING PARTY UNIT:

PURPOSE OF LABORATORY EXAMINATION:

FINDINGS:

CONCLUSION:

REMARKS:

TIME AND DATE COMPLETED:

EXAMINED BY:

Police Senior Inspector


Forensic Chemist

APPROVED: SUBSCRIBED ABD SWORN TO before me this ___ day of


____________ at Camarines Sur Provincial Crime
Laboratory Office Concepcion Grande Naga City

NOTED:

Police Senior Inspector


Officer in Charge

Administering Officer
Republic of the Philippines
National Police Commission
Philippine National Police
NAGA CITY POLICE OFFICE
CITY OF NAGA
-oOo-

_____________________________________________________________________________

____________________________
DATE

TURN OVER OF ARRESYTED SUSPECTS

I,____________________________, Arresting Officer Properly turned Over to___________


__________________ Investigator on case, the living body of _______________________________,
_____________________In good and physical and mental condition, Said Suspects were arrested during
the conduct of buy bust operation by this office on _____________ at about _____________________,
at_______________________________.

Request Acknowledge receipt.

Turned-over by: Received by:

________________________ ___________________________________

Arresting Officer Investigator on Case

Noted by:

_____________________________________
Chief, Investigation Section
Republic of the Philippines
National Police Commission
Philippine National Police
NAGA CITY POLICE OFFICE
CITY OF NAGA
-oOo-

_____________________________________________________________________________

DATE: _______________________

RECEIPT/INVENTORY OF PROPERTY SEIZED

This is to acknowledge the receipt of the property/items/articles herein/inventoried below


from________________________________________________________________ during the BUY
BUST OPERATION at ________________________________________ on ____________________at
about ____________o clock AM/PM to wit;

ITEM NUMBER QUANTITY DESCRIPTION

______________ ______________ __________________________________________


______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________
______________ ______________ __________________________________________

A copy hereof was furnished to MR/MRS/MS____________________________ who were


present during the search, seizure and inventory of the above-described property/items/articles.

_______________________________________
Poseur Buyer /Recorder/Evidence Custodian

OWNER/OCCUPANT:___________________

WITNESSES:
Republic of the Philippines
National Police Commission
Philippine National Police
NAGA CITY POLICE OFFICE
CITY OF NAGA
-oOo-

_____________________________________________________________________________

CHAIN OF CUSTODY FORM

Nature of Case: _______________________________________________________


Name of Suspect/s: ____________________________________________________
Time, Date and Place Occurrence:________________________________________
Arresting Officers Operating Unit:_________________________________________
Description of Evidence:________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

TURNED OVER BY: ___________________________________


(Name and Designation)

Agency/Address : _______________________________________________
Time and Date : _______________________________________________
Remarks : _______________________________________________

RECEIVED BY : _______________________________________________

Agency/Address : _______________________________________________
Time and Date : _______________________________________________
Remarks : _______________________________________________
I HEREBY CERTIFY that herein photocopy of one (1) one thousand peso bill (Php 1000.00) is a
faithful reproduction of its original one (1) one thousand peso bill (Php 1000.00) which will be used as
marked money.

___________________________________
Affiant

SUBCRIBED AND SWORN to before me this __________ day of _______________________


in Naga City Philippines.

___________________________________
Chief, Intelligence Branch
Republic of the Philippines
National Police Commission
Philippine National Police
NAGA CITY POLICE OFFICE
CITY OF NAGA
-oOo-

_____________________________________________________________________________

NCPO/B
MEMORANDUM

FOR : The Provincial Officer


Provincial Crime Laboratory Office
Concepcion Grande, Naga City

FROM : The Acting City Director

SUBJECT : Request for Laboratory Examination

DATE :

=============================================================================

FACTS OF THE CASE:

1. Nature of the Case:

2. Suspect/s:

3. Complainants:

4. Apprehending Officer:

5. Time and Date/Incident Occurred

6. Place of Incident
(Obtained thru buy-bust operation)

EVIDENCE / SPECIMEN SUBMITTED

1.

2.

3.

Police Senior Superintendent