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Republic of the Philippines

National Police Commission


PHILIPPINE NATIONAL POLICE
Baclayon Police Station
Poblacion, Baclayon, Bohol
(038) 412-4745

CERTIFICATION
THIS IS TO CERTIFY that the herewith entry is the excerpt from Police
Blotter of Baclayon Police Station, dated September 20, 2013, duly recorded by
SPO2 JULIE FRANCE MANGANA, Duty Desk Officer, as follows:
ENTRY NO.: 154
TIME
: 7:00 PM

FOR RECORD
TYRONE HORA y CHATTO, 43 years old, a Barangay Kagawad of Barangay
Guiwanon, Baclayon, Bohol and a resident of Purok 3, Guiwanon, Baclayon,
Bohol, personally appeared to this office and requested to put into record that at
around 6:00 oclock on the same evening on board his motorcycle his attention
was caught by the people gathered inside the store owned by Angeles Enoc AT
Purok 5, Guiwanon, Bacalayon, Bohol, playing an illegal card game locally known
as Tong-its. He dropped by and ordered Maria Cielito Segovia, Albert Porlacin
and Dennise Dosdos to stop the game but Maria Cielito Segovia got angry,
attack him and punched him hitting his breast and pinched his left arm. Maria
Cielito Segovia also attempted to bite him but he was able to push her away.
Maria Cielito Segovia also uttered cursing words such as Pisti Kang Yawaa Ka!.
ISSUED this 20th day of September, 2013 at Poblacion, Baclayon, Bohol,
upon the request of the interested party for whatever legal purpose it may
serve.

Prepared by:

Certified Correct:

JULIE FRANCE MANGANA


Police Officer 2
Baclayon Police Station

CRISTOPHER IBO
Police Inspector
OIC, Chief of Police
Baclayon, Police Station

OR No.: 165745
Date of Issue: 09/20/2013
Place of Issue: Poblacion, Baclayon, Bohol
Republic of the Philippines
Department of Interior and Local Government (DILG)

Office of the Municipal Local Government


Operations Officer(MLGOO)
Local Government Unit of Baclayon
Poblacion, Baclayon, Bohol

CERTIFICATION
This is to Certify that MR. TYRONE C. HORA, a resident of
Barangay Guiwanon, Baclayon, Bohol has been duly elected as
BARANGAY KAGAWAD during the 2012 Barangay Elections.
Certify Further that Mr. Hora has not been charged of any
administrative or criminal offense in so far as the records of this
office is concern.
This certification is issued upon the request of Mr. Hora for
whatever legal purpose it may serve him best.
Issued this 25th day of September, 2013 at Poblacion,
Baclayon, Bohol, Philippines.

MARIA DULCE A. ALFORQUE


MLGOO LGU-Baclayon

Republic of the Philippines


Province of Bohol
Local Government Unit of Baclayon
Poblacion, Baclayon, Bohol

OFFICE OF THE MUNICIPAL HEALTH OFFICER


Date: September 21, 2013
MEDICAL CERTIFICATE

Name

TYRONE C. HORA

Date of Exam

September 21,
2013

Date of
Birth/Age

January 15, 1970


43 years old

MHO No.

2776

Address

Guiwanon, Baclayon, Bohol

Requesting
Party

Patient

MEDICAL FINDINGS
FORENSIC INTERVIEW
MEASURE IF ANY
Alleged Physical Injury
BEHAVIOR
Able to narrate the incidents
GENERAL PHYSICAL EXAMS
Multiple superficial wounds on
CHECK
the upper portion of his left
arm, which may have been
caused by pinching based on
the nail marks found
CONCLUSION
Bodily Injured caused by aggression as evident superficial wounds
Impression: Injury is evident at the time of examination but medical
evaluation does not exclude other factors attributable to such injury.
JANICE M. PARILLA, M.D.
Name and Signature of Examiner
License Number: 011735
Republic of the Philippines
Province of Bohol
Municipality of Baclayon
Barangay Guiwanon

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION
THIS IS TO CERTIFY that HON. TYRONE C. HORA is a member of the
Barangay Council of Barangay Guiwanon, Baclayon, Bohol, having elected into
office in the 2012 Barangay Elections.

Certify FURTHER that Hon. Hora is a Member of the Committee on Peace


and Order as one of the mandated committee under the Local Government
Code of the Philippines.

This certification is issued to Hon. Tyrone C. Hora for whatever purpose


it may serve him best.

Issued this 25th day of September, 2013 at Barangay Guiwanon,


Baclayon, Bohol, Philippines.

HON. JUAN DELA CRUZ


Punong Barangay
Guiwanon, Baclayon, Bohol

Not Valid w/out Seal


09/25/2013

Republic of the Philippines


Province of Bohol
Municipality of Baclayon
Barangay Guiwanon

OATH OF OFFICE
I, TYRONE C. HORA, having been
elected as BARANGAY COUNCILOR of

Barangay Guiwanon, Baclayon,


Bohol, do hereby solemnly swear that I will
perform the duties and responsibilities to the
best of my knowledge and ability in upholding
for Truth, Honesty and Integrity as mandated
by law.
So Help Me God.

Done this 5th day of November, 2012 at Barangay


Guiwanon, Baclayon, Bohol, Philippines.

TYRONE C. HORA
Barangay Councilor

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