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Republic of the Philippines )

City of Cebu ) s.s.


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COMPLAINT - AFFIDAVIT

That I, Pedro Pindoko, of legal age, married, Filipino, and a resident of 123 Maya
St. Maria Luisa Village, Cebu City, after having been duly sworn to according to law
hereby depose and say:

That I am the owner of LUGOD MAKERS, with business address at Jones


Avenue, Cebu City. I am executing this affidavit in behalf of LUGOD MAKERS, being
the complainant herein.

In behalf of the said company, I am filing a formal complaint for Qualified Theft
against respondent, Juan Dela Cruz, a resident of Urgello Street Cebu City.

That on or about ten oclock in the morning of August 1, 2007 in Jones Avenue,
Cebu City, Philippines, the said accused did then and there willfully, unlawfully,
feloniously, and by means of abuse of confidence, committed Qualified Theft, upon the
undersigned directly by overt acts to wit:

On August 1, 2007, the respondent was asked to buy some items in the local
hardware, shown in Purchase Order Request 1 and the Petty Cash Voucher2. The total
amount of the items was only Php 1,000.00. However, the surrendered receipt reflected
Php 3,000.00 and there was an indication that the receipt was tampered.

That I am executing this affidavit for and behalf of the LUGOD MAKERS, Cebu
City, being the Owner thereof,to file a formal complaint of Qualified Theft against Juan
Dela Cruz.

IN WITNESS WHEREOF, I have hereunto affixed my signature for and in behalf


of the complainant LUGOD MAKERS, Cebu City this 9 th day of December 2007

PEDRO PINDOKO
Affiant

SUBSCRIBED AND SWORN to before me this 9th day of December 2007 at


Cebu City. I HEREBY CERTIFY that I have personally examined the herein affiant and I
am satisfied that he voluntarily executed and understood his given affidavit.

Maria Magdalena De Jesus


Prosecution Attorney II

1
Annex 1

2
Annex 2

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