Department of Justice
NATIONAL PROSECUTION SERVICE
                               Office of the Prosecutor
                              Bulwagan ng Katarungan
                              Laoang, Northern Samar
                             INVESTIGATION DATA FORM
                            To be accomplished by the office
DATE RECEIVED: September 16, 2023                          NPS DOCKET NO.: 009-123
Time Received: 8:00 AM                       Assigned to PSSg Bienvenido E. Limpoco
Receiving Staff: PSSg Lenald Moclon          III
                                             Date Assigned: September 16, 2023
COMPLAINT/s: Name, Sex, Age, & Address RESPONDENT/s: Name, Sex, Age &
Address
 Ermanio Kabangtong, 57 years old,
 married, farmer and resident of Purok 4,    Amando Dullay, 66 yrs old, farmer,
 Brgy. Little Venice, Laoang, Northern       married, and resident of Purok 4, Brgy
 Samar.                                      Little Venice, Laoang, Northern Samar.
   OFFENSE/s COMMITTED/LAW/s VIOLATED: WITNESS/es: Name & Address
 Grave Threats with Condition
 Under the Revised Penal Code and/or         Cheska Dulay, 26 years old, married,
 such other offence as the facts may         and resident Purok 4 Brgy Little Venice,
 warrant and as may be found by this         Laoang, Northern Samar.
 Honorable Office.
      DATE & TIME of COMMISSION:                     PLACE OF COMMISSION:
 6 September 2023 at around 6:00 o’clock     At purok 4 Brgy. Little Venice, Laoang,
 in the morning.                             Northern Samar.
1. Has a similar complaint been filed before any other         YES _____ NO _____
2. Is this complaint in the nature of a counter charger?       YES _____ NO _____
           If yes, indicate details below
3. Is this complaint related to another case before this       YES_____ NO_____
office?
    If yes, indicate details below
I.S./NPS Docket No.: 009-123
Handling Prosecutor: PSSg Bienvernido E. Limposo III
                             Republic of the Philippines
                          NATIONAL POLICE COMMISSION
                           PHILIPPINE NATIONAL POLICE
                        LAOANG MUNICIPAL POLICE STATION
                              Laoang, Northern Samar
HON. LEO C. FRANCISCO
Asst. Provincial Prosecutor
Office of the Prosecutor
Laoang, Northern Samar
SIR:
       Respectfully referred tp your good office for appropriate legal action relative to
cae of GRAVE THREATS WITH CONDITION, to with
ACCUSED/RESPONDER/S: 1. Ermanio Kabagtong of legal age, married, farmer, and
resident of Brgy Little Venice, Laoang Northern Samar;
COMPLAINT: People of the Philippines/ Amado Dulay, resident of Brgy Little Venice,
Laoang, Northern Samar.
WITNESS/ES
1. Cheska Dulay/ Purok 4, Brgy. Little Venice, Laong N. Samar
DATE/TIME/PLACE OF OCCURANCE:
       September 7, 2023 at about 6:00 o’clock in the morning, at Purok 4, Brgy,
_________________, Laoang, Northern Samar.
EVIDENCES/EXHIBITS:
    1. Judicial Medico Legal Report of the Complaintant dated September 7,2023,
       marked as Exhibit A;
    2. Picture of the suspect with a long bolo behind him; marked as Exhibit B;
    3. Another Medico Legal Report of the Complaint dated September 11, 2023,
       marked as Exhibit “C”,
    4. Police Excerpt Blotter, marked as Exhibit “D”,
    5. Judicial Affidavit of the Complainant, marked as Exhibit “E”,
    6. Judicial Affidavit of the Witness, marked as Exhibit “F”,
    7. Others as needs may arise.
FACTS OF CASE:
       That more or less 6:00 AM of September 7, 2023, at Purok 4, Brgy Little Venice,
Laoang Northern Samar, while the herein complainant was just fixing their fence at the
backyard, aforesaid suspect who was his neighbor, directly confronted him with some
remarks, to quote in vernacular words,” Papatayon ko gud ikaw in igpadayon mo eton
duon ng aim pag inupay saim kudal!” (meaning: I will really kill you if you continue fixing
your fence!). That moment later, said suspect confronted the complainant again and
then subsequently poured a boiling water towards the face of the complainant using a
dishing basin “palanggana”, luckily, the complainant turend his back but still he got hit
on some parts of his body. The suspect finally went inside their house but was kept on
uttering the remarks, to quote in vernacular, “Papatayon ko gud ikaw pag andam la!
(meaning: I will really kill you just be prepared!).
      On the account of the foregoing, a charge for GRAVE THREATS WITH
CONDITION against thee suspect will be brought to the attention of a Prosecutor for
proper disposition and recommendation.