REPUBLIC OF THE PHILIPPINES ) BUTUAN CITY
) S. S.
COMPLAINT-AFFIDAVIT
I, Rummy Dy, 27 years of age, single, a resident of Brgy. Bayanihan, Butuan City, after having been sworn to in accordance with law, do hereby depose and state:
1. That on November 1, 2011 at around 6 o¶clock in the evening while while I was heading home from the cemetery, I met Redemtor Oja, Sr. at the corner of Intino Building along J. C. Aquino Avenue;
2. That without warning, he suddenly attacked me with a 2x2 2x2 piece of wood while saying ³layuan mo sya! akin sya!´ ;
3. That despite being gripped to stop by the bystanders nearby, he still kept on attacking me while shouting ³mang-aagaw ka!´ ;
4. That due to the said incident, I suffered a 10-inch wound in my head, a fractured left leg and two broken ribs due to the severe beating, and has been hospitalized for 16 days and advised to a complete rest for 4 weeks or more until my leg brace will be removed and my ribs will be completely healed.
5. I am executing this complai complaint-affidavit nt-affidavit in order to file a case of Serious Physical Injuries against Redemtor Oja, Sr.
AFFIANT FURTHER SAYETH NAUGHT. IN WITNESS WHEREOF, I have hereunto set my hand this 18 th day of November, 2011, at Butuan City, Philippines.
Rummy Dy Complainant- Affiant
SUBSCRIBED AND SWORN to before me, on this 18 th day of November, 2011, at Butuan City, Philippines.
Atty. Rachell Apad Asst. City Prosecutor
CERTIFICATION
I hereby certify that I have personally examined the Affiant and that I am fully satisfied that he has voluntarily executed and understood the above-statements.
Atty. Rachell Apad Asst. City Prosecutor
