Republic of the Philippines)

Province of Eastern Samar)

Municipality of Dolores) S.S
x-----------------------------------x
AFFIDAVIT OF LOSS
I, MA. CRISTINA DAGAMI y COLES, of legal age, married, member of
Philippine National Police and currently the Chief of Police of Dolores
Municipal Police Station, Dolores, Eastern Samar, after having been duly
sworn to in accordance with law, do hereby depose and say THAT:
1. That I am the Team Leader of the joint Dolores Municipal Police
Station and PDEA RO8 Buy-bust operation which resulted to the
arrest of DANILO ACASO y ABIQUE, 46 years old, married,
resident of Sitio Sandalogdog, Barangay Dapdap, Dolores, Eastern
Samar on June 9, 2016 at around 7:15 oclock in the evening at the
aforementioned barangay;
IN WITNESS WHEREOF, I have hereunto affixed my signature this
20th day of September 2016 at Dolores, Eastern Samar, Philippines.
PSI ALEX TIU ROBIN
Affiant

SUBSCRIBED AND SWORN to before me this ____th day of June 2016

at Dolores, Eastern Samar, Philippines. I HEREBY CERTIFY that I have
personally examined the affiant and I am satisfied that he voluntarily
executed and fully understood his affidavit.

HON. ROLDAN GUIDO ALCONABA

CAPITO
Provincial Prosecutor III
Administering Officer