Republic of the Philippines
National Police Commission
PHILIPPINE NATIONAL POLICE
MISAMIS ORIENTAL POLICE PROVINCIAL OFFICE
BALINGASAG POLICE STATION
Address: Balingasag Misamis Oriental
CERTIFICATION
TO WHOM IT MAY CONCERN:
THIS IS TO CERTIFY that based on the Police Blotter of this Police Station,
record of the events mentioned hereunder was entered in the Log Book Blotter, to
wit:
_________________________________________________________________
BLOTTER ENTRY No :
PAGE NUMBER :
NATURE OF CASE.INCIDENT :
DATE/TIME OF OCCUREANCE :
PLACE OF OCCURRENCE :
_________________________________________________________________
FACTS OF THE CASE:
DISPOSITION : For record as requested.
ATTENDED BY : SPO1 Cardo G Dalisay
This certification is being issued upon request of ___________________ in
connection with his application foe availment of Protective Security Personnel.
Issued this ____ day of _________________, _________________,
Philippines.
For the Station Commander:
BARBIE M MANILOW
Police Senior Inspector
Chief, SIDMB
Note: Certification must be signed or noted by a commissioned officer