Republic of the Philippines

National Police Comission

DIGOS CITY POLICE OFFICE
San Agustin Police Station

September 5, 2016

INVENTORY OF EVIDENCE/PROPERTY SEIZED

THIS IS TO CERTIFY that an inventory was conducted with the following facts of
the operation:

SUSPECT:

1. ROLAND DELA ROSA, 33 years old, married, jobless and a resident of Purok
Talisay, Bonifacio Corregidor, Brgy Zone 3, Digos City.

DATE/TIME OF APPREHENSION: September 05, 2016 at about 8:45 p.m..

PLACE OF APPREHENSION: Purok Tugas, Bonifacio 8th , Brgy Zone 3, Digos City,
Davao del Sur

This is to certify further that the following items were seized during the said operation:

1. One (1) small heat-sealed transparent plastic sachet containing white crystalline
substance suspected to be Metamphetamine Hydrochloride otherwise known as Shabu 7.5
grams with the initials JN and the signature of the poseur-buyer and the initials CP
and the signature of the arresting officers, time, date, place of apprehension and
name/alias of the suspect marked as Exhibit D (subject of the buy bust);

2. One (1) small heat-sealed transparent plastic sachet containing white crystalline
substance suspected to be Metamphetamine Hydrochloride otherwise known as Shabu 7.5
grams with the initials JN and the signature of the poseur-buyer and the initials CP
and the signature of the arresting officers, time, date, place of apprehension and
name/alias of the suspect marked as Exhibit E (subject of the buy bust);

3. Six (6) pieces five hundred peso bill (P500.00) with serial numbers CQ864034,
CS054819, CS080603, GJ968969, GV963698 and GU654615 on which written on it are
the initials JN used as a buy bust marked money, with the initials, signatures of the
arresting officers (PB and AO) with date, time, place and name/alias of the suspect
written in a masking tape (Buy-bust marked money).

4. One (1) piece black wallet containing an Identification Card (Drivers License)
with date, time, place and name/alias of the suspect written in a masking tape.

5. One (1) piece white cellphone, a MyPhone brand with SimPack, with the date,
time, place, name/alias of the suspect written in a masking tape.

This certification is issued pursuant to the requirements of Section 21 (a), Article II

of Republic Act 9165.

SPO1 JAIME NOLASCO PO3 CLEMENTE PAULATE

Seizing Officer Seizing Officer

WITNESSES:

MEDIA : ___________________________________
(Printed Name and Signature)

Dept Of Justice : ____________________________________

(Printed Name and Signature)

Elected Official : _____________________________________

(Printed Name and Signature)