vi, LUKE $ OSIDE XRAY-EXTREMITIES-HIP
Medical © ater ANNEX “ey”
Quezon City
RDS, Diana Vers
be pEeTANATE _aseceypen ocMoED seouesTIg pays
206116303 JuktO-1980 SOY Secapseee FLORENCIO. MARY GUEEN VLLEGAS N10, (998)
Examination: BEDSIDE HIP/PELVIS
HISTORY Stalus-post intramedullary valling, left femur
COMPARISON March 17, 2017
TECHNIQUE AP, frog-leg and left crosetuble lateral views
FINDINGS
There is interval placement of intramedullary rod i-ensfixing the proximal femoral fracture with
satisfactory anatomic alignment.
Soff tsaue ewelling and soit tissue lucencies are seen which are most likely due to postsurgical
changes
This radiologic interpretation Is only a part of the overall assesment of a patient's condition.
It must be correlated with the clinical, laboratory and other ancillary parameters for a
comprehensive analysis. Therefore, radiclogy reports are best explained by the attonding
physician to the pationt.
Mora: neSarDS
. WNateuent SeRacES
Ga Ge TIFIED TRUE COP
2 ae ee cr]
HANS BRIAN. GUE, M.0. ANNA LYN ©. EGwOLF, 0, APR 08 2017
meni eee, fe ee
Lo
PRANK An Alc amomr
OBMAR IMENT UANAGER
THs roport nas hoes sostrniesily vata. No signature required
SRETe vee REET FANT OMETME 69 OTT HET Ae
DOGUMEN' ¥ coupes STOTT eta
2796.
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ot. Luke's SIDE XRAY-SXTREUITIES ANEE
Medical Center ANNEX “12”
Quezon City
ROS, Diana Vers Mai-202017 1245 AM
re SInTHOATE _AGESGENDER sQowaED. REQUESTING EnYSICIAN
#2067850 _wui10-1980
saver iszoer FLORENGIO, MARY QUEEN VILLEGAS M.D. (805)
Examination: BEDSIDE LEFT KNEE
HISTORY Status-pest intramedullary nailing, lef femur
TECHNIQUE AP end iateral views
FINDINGS
‘There is interval placement of intramedullary rod sind screws transfixing the distal femoral fracture
‘Surgical clips aré noted at the lateral and inferior aspects of the distal femur.
Solt tissue swelling and soft tissue lucencies are ~oted which may be attributed to post sut
chang!
This radiologic interpretation is only a part of "76 overall assesment of 2 patient's condition,
It must be correlated with the clinical, iaboratory and other ancillary paramoters for a
comprehensive analysis. Therefore, radiology reports are best explained by the attending
physician to the patient.
a Go dig © “
HANS BRIAN V, GUE, MO. ANNA LYN ©. EGWOLF, MO.
Asien eet
"vs report has dean electronical 0
to. No signahia fs ris,
ROY ocessanesoonra s PANT OATENIE! 0530 S07 0820 PM
DOCuNENT eRe a Sa ri ca
2PDE Rodriquaz Sr, Bed, Quazon Ch “Te, Ne: (652) 723-0101 / 72530" St. Luka’s biaswostic xray
Medlcol Center ANNEX “ey ="
Qvezen City
ROS, Diana Vere Nar202017 122AM
unr ipare noownss REQUESTING PHYSICIAN
9 shiese-t9e0 SIF 3208/2208P DRENCIO. MARY QUEEN ViLLEGAS 9 (238)
Examinatio!
LEFT FEMUR WITH INTE AOPERATIVE USE OF C-ARM
HISTORY Wound debridement; Stat. s-post intramedullary nailing, fett femur
COMPARISON March 17,2017
FINDINGS
‘There are 28 images provided for interpretation.
There is interval placement of orthopedic fixation devicefintramedullary rod transfixing the fractured
fragment of the lott femur wth satisfactory anatomic algnment
This radiologic interpretation is only a part of the overall assesment of a patient's conditio
|t must be corrclated with the clinical, laboratury and other ancillary parameters for a
comprehensive analysis. Therefore, radiology reports are best explained by the attending
physician to the patient,
Menica, REcoRDS:
Zz BaceerOes
HANS BRIAN V. GUE, MO. ANNA LYN c. EGWOLF, M.APR 0g 2017
RESIDENT apaLoaisr L
FranKYNe PRicar oat
DEPARTMENT MANAGER
‘This regorthas been alecvosiealyvaldsted. Ne ianature seule
Rasy STARE = FANT ONTEAIE
SOCURERT SSIS SUT =
279 Rodriguez S:. Ba, Quedon Cty * Tel, No: (632) 723-0101 723-0204 ANNEX ‘if
GLINIGAL DISCHARGE SUMMARY
| AGEICENDER: BIN)
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ROS, DIANA VERA seve 3208-3208,
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ROS, DIANA VERA aor se
ADMISSION DATE:
[ BIRTHDATE] RooMibED:
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‘WIS I ALSO CONSIDERED AS THe PATIENT'S G INICAL RESUME AND CLINICAL AgSTRACT
For any emvigency, you may contact your Attonuing Physician at 7230101 L5908
(or the Emoxgoney Caza Sarviees st 1230404 local 1942 or lool 5433
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| MAY 19 2017 1a
efi Sik Luke’ % PAGHOSTGIEAAY
Medical Center ANNEX ‘tay’
Quezon City
ee an DST
ROS, Bara Vara Taet7-2017 09. Ph
ew BATHOAE _ AGuGcwnER noownED. sccucsnie avocan
208 18808 Jult0.1880 eve saanea0e7 LUNA PAGLO ANTONIO SELVA M.D
Examination: CHEST AND THORACIC CAGE
History MUtioie ehysic! injuries secondary to vehiouler accident
COMPARISON None.
TECHMOREE AP vow - Chest
AP view = Thoracic cage
FINDINGS:
Lungs are htypoaerated
No acute infitrates or arcae of conadlidation
Heart is magnified
‘The hemidiaphragms are elevated. Costophrenie sulci are intact
The rest of the thoracic spine are unremarkebe.
No evident rib trecture on the views provided.
No evident soft tissue oslcifications.
IMPRESSION
HYPOAERATED LUNGS WITH NO ACUTE FILTRATES OR AREAS OF
CONSOLIDATION
MAGNIFIED HEART
NO EVIDENCE OF RIB FRACTURE
mepica, necoRnS
MANAGEMENT SERVIC
CERTIFIED
| apr og 201
| _
sears Enron
DEPARTMEN” MANAGER
LEO NEILL. APALE, M.D.
Sart semanas i PRINT OATETINE OTE DDE OTSA
SGM ramen aaa Pace Lolz.
279 Rodigues SB, Guzen Gay Tel Ne: 2) 7229101 TaS-c301 too DIAGNOSTIC X-RAY
: uo?
aoe Cais ANNEX =
bezon City
ROS, Diana Vera Tne 17-2087 8608 PRA
ee pHwae _Acbioencen sown peourstna mvc,
1208116508 Jusoreeg —_ S6YiF 3200/3208" LUNA PAOLO ANTON BiLVAMD,
This radiologic interpretation is only a part of the overall assessment of a patient's condition.
'& must be correlated with the clinical, laborator, and other aneillary parameters for a
comprehensive analysis. Therefore, radiclogy riports are best oxplained by the attending
physician to the patient.
CERTIFIED Th
LEO NEILL. APALE, M0, BETSY GRACE 6.CHENG, MD. | ppp 8 2017
Dp
ean teaser
Joa anAgER
ed Ne igri rogues
CRETE RETO PRT ORETME OAT
DOCUMENT # cocoon rea ——Pang 2012
PPS & Wourguve 8 Bld, Quszan Gig "Tel No.
2) 725.0101 729-9991 PATIENT : DIANA ROS
AFTER discharged to the hospital
April to July 2017 ( Partial Medical Expenses }
MEDICATION PRESCRIBED
KEPRASOOMG 2K ADAY
LYRICA 1S0MG AL CAPSULE A DAY
SERC24MG 2K ADAY
NORGESIC FORTE 3X ADAY
INSULIN 18 UNITS 1ADAY
INSULIN PIN 32¢x 4mm pin per day
GALVUSMET 50/850 2X ADAY
OXYCODONE LA DAY OR NEEDED
SENOKOT FORTE LADAY
BACTROBAN
TOTAL COST
REQUIRED CONSULTATION
SURGERY DR. AMADO.
ENDOCRINOLOGY DR FLORENCIO
ENT DR CARPELLA
ORTHOPEDIC DR syquia
NUERO SURGERY DR CASIS
NUEROLOGY DRNG
REHABDR.PT DR VALDECANAS
REHAB DRPT DR RAFANANA,
PAIN MGT DR JAVIER
CARDIOLOGY DR TOLENTINO
TOTAL
COVERAGE
April 9 onwerds
April 9 onwerds
April 9 onwerds
April 9onwerds
April 9onwerds
April 9onwerds
Aptil 9onwerds
April 9 to Moy 20
‘APRIL 25 2017 up to June
APRIL 20 2017 onwards
‘APRIL 20 2017 onwards
April 25 onwards
APRIL 202017
APRIL 20 2017
MAY 6 2017 to June
July onwards
PENDING
PENDING
UNIT cost
74.00
141,00
74.00
24.25
68.00
15.50
35.00
48.75
350.00
1,690.50
PROF FEE
459.00
800.00
1,009.00
900.00
1,500.00
1,700.00
1,200.00
1,200.00
1,000.00
1,000.00
10,750.00
DalLy
148.00
141.00
148.00
102.75
70.00
48.75
658.50
2x
xa Month
2x.
ixa Month
a
Aka Month
1xa Month
2xavonth
ANNEX “CO?
MONTHLY — Aprifto July
4,020.00
4,230.00
4,440.00
3,082.50
1,736.00,
465.00
2,200.00
1,462.59
35009
22,306.00 89,224.00
PAID EXPENSES as af Apel to
July 2017 { Partial )
1,350.00,
2,400.00
2,000.00,
3,600.00
3,000.00
6,800.00
2,400.00
2,400.00
1,000.00
1,000.00
25,950.00 MEDICAL PROCEDURE
NUERO SURGERY
ATTENDING PHYSICIAN,
ent
REHAB
ORTHOPEDIC
TOTAL
IRI TO THE BRAIN
LAB EXAMINATION
TONE AUDIOMETRY
TYMPANOMETRY
SPEECH AUDIOMETRY
CT SCAN
Session 3xa week
FEMUR XRAY
MEDICAL EQUIPMENT AND MATERIALS
RECLINE WHEELCHAIR
TRANSPORTATION
MEDICAL MATERIALS
QUAD CANE
DAMAGES TOMY PROPERTY
HONDA BEAT 2017
INCOME LOST
MONTHLY SALARY.
137H MONTH
TOTAL
SALES INVOICE 2815 ( BRAND NEW )
FOR EVERY HOSPITAL VISITS { 3x a day )
GLUCORMETER STRIPS. NON WOVEN PATCH
ETC.
Purchased February 2017
Hit & Damage by Mr. Golangco Last MARCH 2017
MARCH TO JULY 2017
40,000
3,333.33,
43,333
PARTIAL DAMAGES , LOSES AND MEDICAL EXENSES AS OF JLILY 2017
17, 954.40
24,209.64
2,000.00
2,000.00
2,000.00
11,000
1,670.00
1226.32
45-Apra7
500 BACK AND FORT
Estimate as of April to July
Cost.
23,020
200,000.00
16,666.67
216,666.67
PAID
PENDING
PENDING
PENDING
PENDING
PENDING
ON GOING
‘Monthly
6,780.00
24,000
7,000
3,000
49,780.00
501,449.63
17,954.40 Next after 3 Months
24, 209.64
2,000.01
2,000.00
2,000.00
11,000
80,160.00
3,048.90 May toduly (Partial)
100,808.96 ( Partial es of July)
PURCHASED
As of July 2017
PURCHASED.
PENDING i Wes Gury wney wee er ee
ag rs etree var me uciyory ur pet errata
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TENSE [1
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SERIAL MINGER: B8Ci
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i: 13033287
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Tei a eg x80
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305,20 €
sop 1 Bb 2h a
Si ahecetedumasnsececncerserestensias
supra 7537.02
Lees 128 WAT 8.0
‘MQuNT TO PAY 9553.03
1030:00,
446.07
{ Stens sold = 12
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CURTIN: aAKE: CTEM ROS
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2180 RATED SALE “0.00
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fearon eh ea gow a6
Vall ATT, £ SUBS}, atte
‘hs Invaice/Feceint shat) be
Five (9) years tras date of
‘ne Perit
comcerns on our proc
crete, ease ask ur Stag set
D replace/exchange rerchancl ge nresent
{nis receint. Sibject to starcard
provisions on toneuner provact ior
product warranty.
3 fon. atsons com ah
For ar ESCURY DRUG = CC STKATUWA ILL ULule Ext
ADP Vauuna Ents Silatura Vilage A
Secund district, Ouezon
+ NAT Ret TINO
TEL MO ete) ca-20st
TOGIRNE 470) 41-RV7S7 ADDL OLLI
AINStONRMESMOTSA [1.5.30] 06
FRB 7 PRINCESS
Be) UF Sort 10.007
monn oe 15.00
fit of Sole With
ass 122 WAT
eaTOTAL AYOLUT
LESS + SOY Galas Tiscaut
ara, art
HON TENDERED
cre Oat 221.43
‘aval, PaeeCMT mat
x teats)
TRORWN Approval 2 adh
Care BH iaaRReNNNHICD
fount: 22ND
CROER HOTA
Pub a: 197 0404 O51 oo083
1 We 605, DIANA ¥
moo
QO) Mae
VAT Tero-Ratec SaleiZ) 0,00
val - 12% 9.20
fount Due z2L.8s
Received Rerchandise in Good Condlton
Yolasisigure Genat oy Loging Bago!!
tHaraning Salanat 70.
Faithogis Systensy lace
Bray Coram de
. fetra Noida
2 205-713-421-000
cogst4-18i07
Osa
cca
THUG INRUULE/AEEIFT SHALL, BE
Foe FT (5) TEARS FRM THE UME OF
THE PERMIT 10 USE
TawATDADS 07-04-17 Me
camer rms
= THIS (8 YOR OFFICIAL RECEIPT ~
HUB OC SIRATINE Vi
ve Exh, Sueatuns UT
wand District, Qzezcn Ci!
SK Ba
We
ra ate
BD UF Sp
PaEAL-§ TAD
eT
woes ¢ Z
TO. 7
Received Merchiadise sn Good Condition
skasisigure Gauat: ay Leging Eegn!!
Haraning Salzest PO...
Validity Dates ternl 20% DERCLY IG ~ HE-SEKATN UT. WLU EXT
0? UaLuns Ext. Qikshuna Village WR
strict, Svazen Cay
cs Tea m-058
2) 0
2 1 HUTST RO
AL OT
Pemr wees
iste ful
* ir -Bee 2
iT Zerortated Sala) AD
tat = 12 0.00
fart ue 2.29
ee ier oY
soaes0ne Peis
4.001
Tere ONT
som.m
Tove. eevee
oN
te
item(s)
soe sayTae
FD He 137 O8D4 83 o0aN3
SOLU TDs AOL, eka Y
GAT
anon
TaD.
USTUESS i
a
sess, San Juan, tetra
irae TH 2
city Eater OW/II72008 -
FAL Ra gFPOTeOI6= 116 OORIL9-5
NAICEARECET MERCURY DRUG - QC SIKATUNA VIL VUUN® ExT
108 ULuna Ext. Sikatuna Village AC
Second District, Quezon City
«ORT REE TIN000=368-179-856,
TEL NO: (02) 233-2051
rosacea 4900 al-R7é0 AOD2 L117
HIN ASOT2SIS1S447S132 (1.5.20) 08
Pav 4 SHIRL
LIRICA CP 76 02.1
sensoassoni 6 @ ALT
VET TAR 5009 445,007
squsigesige 20.0 48.40
at of Sate bith UAT 917.50
Lece 122 UaT 101.52
TOTAL aT 5.90
LESSON Seles Hiiseaunt 169.20"
Toa aU 6.7
AOU TENTH
von 616.18
sora para en
16 atam(s)
CREDIT CARD DETATLS
HETRORK Approval + 782078
Care 9 ARARHRNEHEHRSOUS
font + 16.18
OmUER wooALS
Patt Ws O13 7404 051 NODAL
SOLD TO: FOS, DIANA Y
SIDNATURE
AUURES
THM.
vareble a) 0.00
Vat-Exempt Sale (Xk) 645.98
Ua TerorRated Sala(7) UU
at = 12 0.00
Amount Due 616.78
Recoived Herchsvcise in Goud Contition
Naanisigura Gonot ay Laging Hogo!!
saratirg Selamat Fe
PabLlogts Systems, Inc
ASS Lt. drtaaga St. Bray Corazon de
Jesus, San Juan, Metro Hanis
Wat REG TIN : 205-713-621-000
fcered Now: 042-2097,
i 4/1/2008 = 07/21/0048
rig OI NAO- CESS
THIS TWOTDE/RECETT SHALL HE WLI)
Fo FIVE (5) Yer FROM THE DATE OF
THE PEAMTT TO USE
THNNDEDTGG 04-16-17 102458 RETREL
mann LLT208FII5
= THES 18 YOR OFFICIAL RECELPT ~
° ANNEX “5”
FERELRY TRUS - 06 STKATINA VILL VLUMA ExT
109 V.Luna Ext, Silatun Village NOt
Seeand istrict, Ouezon City
ET REG THI:000-3aR- 70 nos
TEL WO 3 (02) 203-203
TOSHIBN 4900 41-RPVS7 ROO 0117
MMs IBOTREISISNATSISL [1.5.30] OF
PAR 8 FATT
CALS FETSO/ON
snes m1 522|
fait of Sale lth WaT
Less 122 VAT
Oe ext
LESS + 20% Sales’ Discount
TOTAL sO
esOUNT TENDERED
CRED CRN 0.00
TOIL FarrENT ‘50.00
Xe TD iten(s) #8
CREULT CARD OETAILS
HETRIOK Approval s #40
ced H tenn aZ3
fant: 750.00
vateverpe Sale (2)
SAT Zero-Bated Sale(Z)
var = 1, 0.00,
Bacon Loe 10.00
Reraivad Harchaediss in Good Condition
Nalasisigaro Gant ay Laying Bazo!!
Herzing Salarat Po...
Fhillonix Systens, inc.
83 UE. frtdaza SL. Brgy Coraton de
Tesusy S50 van, Hotro Aonils
Up REG TN 2 315-713-621-000
veel Not O82- 20571 S621 -[N835-10408
Uslicity Hates 06/11/2000 - 07/34/38
PTU We AFFOTEOLE-LL6-OOPLISP- OSS.
THIS DNOTCE/RECETPT SNL 4 VALID
FOR FINE (8) YEAKD FR THE BATE OF
THE FERATT 10 Ue
THMIDASOS 01-20-17 05:46 HICAM
oRALLITLO7E580
= THES 18 YOUR OFFICIN, RECEIPT = FEACLAY TRUS - 9 STHATNA VILL ULIK® ExTH
Sikatuna “loge NCR
pa .
ERIN cee 7345 502.507
sexrnHecent
TETRA Ta Sg 205.001
100 48.30
ORSESTO FTE Tot 7.00t
sB00H4610012 Ae
ft of Sale With Yat
Antla TeWTeRE
7 ca 1040.88
nest
TAL ERENT 1200.35
se 2B stents) 8
conn reTaits
BRCMET — foprovalt
Card & vasaabaveny7a4g
520.36 ey
157 OH CML OuDAL
Ree, TIANA U
ver
ecunt tae 1240.36
eceived Hercheriise in Good Contitlan
usiteisinure Gaest ay Laging Bagol!
Favening 8
60091139 0008
E/RECEIT SHAUL DE WALID
) TENS FHCN TH DATE OF
f
“ns niVeN
Fok FN
THE FERS? Te
Ta
TT QUE2BF JU
71085246
18 TS YOUR OFFICIAL RE
ANNEX *
‘ERCURY URUG - G2 STKATUA VILE YLIR BTN
107 Valuna tute Sikatura Village NOX
Secend Bistrict, Nuazea £
YA REG TH000-348-#4
TEL ND: (02) 285-2051
nSHIGe 900 61-RUTS7 RODE 1117
HIN LEO726I5 13487531 [1.5.20] US
Pea Bare
sss
SILKS HETSO/aEN 1090.07
feusisoi2 a
fut of Sole With SAT
lass 12 Yar
OT eoiT
LENS 5 20t Sales Discount
TOTAL AKON
estusey TEMERED
80.00
TAL PaAEAT 70.00
HD ita(s) tt
7 CARD RETAILS ‘
ARENT fppravall + OBS
cord a maneMTED
fonts TaD
orrer wonaeo
orcad = 2971s
SeL0 Ws vetiea, "Na Wise a
SIRE :
RMRESS
THN,
arate 9.60
VAT-Exeapt Sete (F) 937,50
VAT Zero-Reted Sala(7) 0.00
vat = 12% 6.00
an Dae 0.00
ARereived Herchandise in Bocd Cordition
Nohasusigura Sanat ay Leaing Bago’!
raning Salaet Fo.
trLidegix Systane, Inc.
48) LE, rtlape St Brgy Coreen ce
sy Son Juan, Netra Handle
ey RED TR 3421-203
42-2071 DONE BADE
kes OS/1L/2008 = STRATE
Srsue bere
Thi TAVOICE/RECEDT SHALL BE UALID
Foi PIVE (5) YEAAS FROM THE OaTE OF
The FERTT TO USE
DAHLE 05-2
oh aL TTIUReS
+ THIB 15 YOUR OFFICIAL aeteteT vai. 3233
ton TMA Lee Dir
TAAL Ae
re ee tg
ties sconnomncangsnad
Set
Teen
1,500.00
41,500.00
ce stuateecneed igh
ANNEX “1”
CUNO stata a
‘Oat ROL Rt
eet
tz
mn 2a ~ ‘MER wineasteigor24>
Mt
"Hct 10 sn
BE a a ny
TOT en Par, ee
$0: be natty
1: eniscout
Ay: satin
sgl 82a at ots aa
CURLS cat sth att
“mn STOUR CO ANNEX “0”
Page tof
NNS 36771 RHODERICK M. CASIS, M.D.
Naurelegical Surgeon
Diplomate, Phippina Board of Neurological Suigeane
Faliow, Academy of Filpine Nourosurgoons
Fellow, Asian Congress of Neurological Surgsons
ST. LUKE'S MEDICAL CENTER Q.C.
‘Sua 618 South Towsr
Calhodel Helghts Bldg, Complex
5 » Date: afonbia
t 7
Patients Name __ a (eet
Age: 34 Soe _£
Pas [Ret
ok bask
Page tof
Disrmrd serese of erm
saan Cf te)
jaye re in, HP
aia fram=
With contrat ,
4 ki
er Bhoderidk M, Cao's, N.D.
pas Nicense No 67537
pte TR No. ~ — Ft Aa Ne
Ti Mas OO8T1781 ANNEX ‘his!
St. Luke's
Medical Center
veren Cie
eases ormsincnecsirT no,
eon es ovisbzees
var REST homes 8300 2nis08
AEEEVED Rom 67 85a Ven rene is
PASTIME AT 405. oAMA ve
sconess SIRTEREET MAVEN UMS OUNAN —maocene ar noncians CARNE
Saar et por
‘uouNTaLWORs® _retenra arenes Toy Ek Ps fw ony
Fg RE ae
‘Ho annnnas-sPccALsemuces
pact oo) me eee
Sa ree a ee ee
feria, mam wemwelidlemas OO ee tae
TOMLANOMN tn | seat a ap
TOTALsaLss mo 18820) Joven Sap rae Pres.
TOTAL DISCOUNT me Sek00 i
zenoateonts wer XY |
_
THIS OFFICIAL RECEPT 3 NOT VALEKG AYTH eAaHCR,
eG a}
Pogo ot
wa 00871714 ”
ANNEX “oat’
OFFInL AECEIPT 10,
aotsessez
20170808
orp ntees|
pnt per
1g, Om Tem ry 9h] TH
i oer
NN
748771 e St. Luke’s
OB} Medical Center Center
Quezon City
oc1s90015
20170508
oon
‘OFFAL RECEIPT Ho,
St. Luke’s
Medical Center
SGigieciin CAliy
20170508,
Petz
‘eran EM.CODE SERVICES vou oy anossisscunr ner waar
em
one oF ENT 1
ee
a
Sot
00871789
00871825 MERCURY DPT — OC SIKATUNA VILL WUNA EXT
1? ¥.Le 9 Ext, Sikatuna Villans ER
Savo District, Quezon City
«AT RES TIWO0D-300-494-05
TEL ND (02) Beco
TOGNERS 9900 41-ROTST ROL CATT
HONS 1807281517181 [1.5.30] 05
Baa 7 PRINCESS
VETS TAS 500g 2e7.00T
renasieesiae oe ann
dat of Sale ith veT 267,00
Lass 128 VAT 78.61
TOTAL HINT 220,39
LES + OME Sales Discount 47.087
TOTAL MONT 90.71
LT TENTED
asi 46.07
(eMre cane 149.68
TOU Fane 190.71
4 biten(s)
RIT CARD DETAILS
BAICIET feprovald : 385
Card Waren 60
fount 1
CROER 00887
ul & + 137 9408 OSL 0003
SOLD 10> ROS, DIANA Y
SIGATIRE :
AIG
TWO, :
WSNESS SITES
vatable mow
VaTHExeupt Sale (Xx) 280.397
VAT Zera-Rated Sale(Z) 0.00
vat = 12% 0.00
oun Ove 190.78
‘eceived Herchantise in Gecd Condition
Nahasisigera Gaunt ay Lagirg Bago!!
arsning Salanat Po.
Fhultogex systens, Thc.
5 Lt. Artiace St, Brgy Corazon de
Tenusy San Tuan, Hotea banila
ar 883 TIN + 205-713-421-000
eceen Noqt DA2-205713621-DOUS36- (6404
Usliaity Tate: O6/11/2008 = 0/31/0010,
PHY Now FPOTELG=116-0081139-00055
THIS TNNOTCE/PELEIFT SLL WE URL)
FoR FIVE (5) “EVR FROM THE GATE OF
THE PERAIT 10 USE
THRICSTIOA Oi-05-47 04:89
UratsuTu08rez6
= THES 18 YOUR OFFICIAL RECETET ~
TEROURY TRUG - QC SIKAT VILL VLIMA EXE
107 V.buna Ext. Sikzbu....éllaga BCR
Second istrict, Guezen City
+ WAT REG TINDOD-368-470-884
TEL ND: (02) 283-201
TOSHIBA 4900 41-SV737 ALDI 1117
; re i
_ioisiraasserant oo ANNEX “Di
LIRICA CAP 15K 1415,00T
egoororesm2 © 10.0 141.50
ROREESIC FTE TB 32.507
esuosisi0012 10.0 4.25
fut of Sale With vA 1757.90
Less 121 UAT 198.30
TTA, ASOWNT 1569.20 .
LISS + 201 Sales Diseant 315.86
TOTAL AON 20.36
‘UT TENDERED
ERIT can 25.5
Ture. PaYRENT we.86
M1 2D iten(s) a
EDIT CARD DETAILS
BUMHET feproval: 3857
Card W tenet 160
foot + 1255.34
CADE WoOs4®
uD we 137 DAO OS DOUAES
SOLD TO: ROS, =e
alate (yo
VaT-Beengt Sale (1K) 1500.
VAT Zero-Rated Sale(z) 0.00
Wr 1
Pact Due
Recesved Merchandise in Good Condition
Yakasisiguro Gauot ay Laging Bago!!
Naraning Salanat Po.
Fraillogix Systers) Ince
4S Lt. Artiaga St. Brgy Corazon de
Jesus, Son Tuan, Hotro toni!
ET RED TIN: 205-713-421-000
ected Nags 082-200718421-000535-18105
Validity Tate: (6/11/2008 ~ O7731/2018
PIU Mo. sFPOT2UL4-{14-0091130-00855,
TiS DWDICE/REGETPT SARL BE VALID
FOR FIVE (5) YEARS FROM THE DATE OF
THE PERMIT 10 USE
TAMOSTIOS. D6-D3-17 04:44 LIZA
wat 71089825
= THIS IS YOUR OFFICIWL RECEIPT = Gentes ane aR
We love hfe ANNEX “Dd
each ear
279 £, Rodriguez Sr. Boulevard, Quezon
tity 1102 Paipeaes
Tan? nena va
SaLOPTGT ae teooee
SERA
Customer: ROS, DIANA Y
Adcress: 00 No Address
W
Business Styler
Cashiers ANALICAT
Oe: 200158595 06/08/2017 1
BACTROBAN 2% OTAT 20H6/6 55
i 374,92 374,82
Persons w/ Disability Lese 202
OFF (46.73)
1 Itea(s) Gross Total 74.02
VAT-Exompt Sile w/ ¥aT 374,82
Less. 12% aT 40.16
VAT-Exospt Sale Het of YAT 35.65
Less 20% Disc 66.83
VAT-Eneapt Net Sale 2173
AMOUNT DUE 267-73
Cash . 319.93
CHARBE DUE 220
UAT-Zerokated 0.00
VAT-Exempt 260.73
UaTsble 0.00
vet 0.00
kD NO
SIGNATURE:
Rens
liodFord Rx Solutions, Ine.
Srd Floor Ragnituce Bldg. 186 E.
Rodriguez Jr. Avenue Bray. Bequabayan
Suezon City
TINK: 096-158-057-000 VAT
ACCRERDGO-Z55396454-00335,
VALIDITY DATES OL/10/2004-01/09/2019
PERNIT#: 0213-126-14771-D00
THIS INVOICE/RECEZPT SHALL BE YALID FOR
FIVE (5) YEARS FROM THE TATE OF PERAIT
TO USE.
THIS SERVES AS YOUR OFFICIAL RECEIPT
FOR AEDICATION ADVICE,
PLEASE AGK YOUR PHARHAGASTS
EXCHANGE 15 ALLOWED WITHIW THREE (3) TAY
8
FRO DATE OF PURCHASt
EXCEPT FOR “INDECTABLES,
LOOSE TABLETS AND REFRIGERATED ITENS
SICH ARE NOW-RETURNAE
PLEASE PRESENT YOUR RECEIPT
THAW YOU! ANNEX de
eRCARY OWS ~ 0,6, OTLIHAW HATAL THO
cour Relaysan and *ataling $1., Barons
Central tisteict TY, Quezon City
‘nT 25 FIN-0G0-388-414-736
Feu No
osinn 4900 41-BK663 ROC2 01088
IN: 189211 11218287962 [1-§ 307 0
pit Sew
GRLUUS METHO/EED 1080.07
“420031901822 50 ¥ 35.00
fant of Sale with VAT 1050.00
Less 12% SAT 112.80
TOTAL AMOUNT 937.60
"hea. 202 Sales Disecunt 187.80
TOTAL ArOUNT 750.00
AMOUNT YENDERED
cn 60.71
ae, Prien 740.11
HAN 10.71
30 Heniay
nner 90615
i 19: Anan, He LUISA A
scat
ADDRESS 2.
TIN 50.
pustess $t¥
vaTante aif ao
Wifckcenet Sole (987-80
YA cerorkated Sale(2) 0.00
vat t2e 0:0
Arount Due 30.00
ebei ved Aecchondise sn Good Cond then
finkastsigure bonot ad Leging Base! !
Horanina Soiavat Po.
hitomi Suetens,. tr
45 Li avtiaga’S{ Brey Corazon de
‘eovs, San Juan, Ratro Hank
Wat age TIW + 205-713-621-000.
i ae baz. ene? ual “000836. 18404
Validity Date: 06/11/2008 ~ 07/31/2018
2 No, #0220151 16-0025234-00 58
MTS. 1NvOSCE/RECEIPY SHALL. BE VALID
OP FIVE (5) NEARS FHOM THE DATE OF
Tle PERALT 10 USE.
v7 05:14 108805
anorses9 06-1
RU 10882518913
= Wis 1$ YOUR GFFICIAL HeUELPT
PERCURY TRUG = @.G. DIL INN HaTALEHO
Caner Kaavean ang Retail ine St, Born
Central District 1, Guezon fil
UAT HES TN: OUo=SeBeara~ 738
TEL Wo
TOSHIBA «300 4 ~3K§63 ROO? 01088
FW 1602) 111215287952 (1 5.303 05
Pak Sey
LYRICA CAP 754s 18781
18003098600) 5 83.75
NORGESIC FTE TRB 7h 26T
‘axcos14i0012 bese
TETRA TAA B00%9 445,007
430651465188 toe 48.50
int of Sele Vith ¥AT 1035.00
Lee 128 vAT 110.88
TOTAL AADUNT vent
LESS : 20% Sales Liscount 184.82
TOT, AMOUNT 39.29
pruuNT TeNDcRED
ASH 1509.08
sora, PaveNT 1800.00
ne 760 71
te 1D stunted
aROER HONS 11
pull @ : O13 7404 o51 DOo415
SOUn TO ROS, DIAKA V
SEBNOTURE
ANDRESS +
TIN NG
BUSINESS STYLE
vatable a 9.00
VATSEvennt Sale G0) 82014
VaT Zero-Rated Sale(Z) 9.00
var = 12% 0.00
Prawn? Tue 739125
eceived Merchandise in Gaod Condi tion
Nokes is:gure Genet oy Leging ogo!
Paillogix Systens, Jac
433 Lt, Artiaga 34. Brey Corazon de
Jesus, “San Juan, Netro Hani le
VAT RER TIN 205-718-621-000,
rod We,» 042-20671 969 1-300336.18404
Yalidity dete: 06/11/2008 ~ 07/31/2018
PIU No :FPOZ2015-116-0025234-00795
THIS INVDICE/RECEIPT SHALL BE VAL TU
ow FIVE (5) YEARS FROM THE BATE OF
THE PERAIT TO USE
TXNHOTB839_ 06-10-17 952147 108805
‘arab 1 0882318012
= THIS 15 YOUN OFFICIAL RECEIPT - SALES NVOICE NO.
‘inran uy pn Sonora
[RECEVEDSROM RTH juAIAE RAV YaKBAS smemmening i825
CAA py ONTO HONVONENCAUE PACK “ wy
Page 1011
ALLAN B. CARPELA, | 2
fr 21 MA, ets Macc Coreg
.Roatiguer Sr Sid,
Sid, Katsu
Nonarace TH BIST
OFFICIAL REGEI 3587
ike ib Nh a
received fom KEY Ono Rew Diana with TIN,
ae
Rega
fees. ak engaged in the Busine
== ae
Se beg se got Met
asin
[Rea auouner oak [C=O
rear ralager—_— fl /partl payment fr. Tee ou
ear EU 5 cotsen oscarpu 0 nol 2 Shore) \
= eacente erase: e oe
= Sere
fe 7 ——| speeaes oa er fr erm
ANNEX “piv [inserriamen oF THE FOLLOWING RoseRts: # apo, M.D.
Seas [nea jj-805 CHG, ST. LUKES MEDICAL CCNTER
Se Af thy fe RODRIGUEZ SR AVE. GUIEZON CITY
———s INEX SDT F igtnce corona ene .
Ne 7921
¥ | OFFICIALRECEIPT 5. Geaeyy
rae RECEIVED from Se
Tp nla
and Addeess at os
yith TIN
engaged in the Just ess st ee im
the sum of pesos
Talc Sea |
[eoRaiedoiey | e__22" )
A ou —— —
TetelAmourt Due [> impartavfull payment for ©
I FORM GF PAYMENT ees :
cast = relia ian [SC TN | .
‘cHece || BAR
a howe SSRERFRDDNG| Smee | By: —__ 7 J __
cucex 86. Soakrae ? aed Repescaaiee
[BANK | prorsrevanense oseeanvor ons "
TOTAL AMOUNT |p Soran ier. Hs OFF, RECEDT SHALL GE ALD FOR FE) HE DATE OF ATP
‘ARLENE R R. NG, M. Bb.
St Lukes Medcal Gini 278 Reshigies, Se Bld” Kslusugan, Quezon City
nae ee
wR Sere eng
. 2
OFFICIAL REGETPT pe t=08 ole
RECEIVED from___| S ee —————_—_
with TIN Nos.
with address at
the sum ofp 2A tag
&.
J ay ieelkidiclne tee Semdodon se
Ja partial /full paymen: of id
Ra WD IF | iron
2 ate Signore
“THIS OFFICIAL RECEIPT SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF AT>"
ga pmiats Prowencoscas
Pye Bina. fice ne 5 2019
MPACUENT OFTHEFOLONNE | JOSE FERNANDO C SYQUIA, M.D.
VOICE NO. MONT Fn, 602 CHC SUMC, E. Rocriguex st. Avenue, Quezon City
‘VAT Reg, Tl 9a-268-314-000
foe Sais (AT eve
oa &. 00627
Newey ret
eta OFFICIAL RECEIPT
Lass: SCPWD Dicouet Date. Zs
) [eee recived rom LUNG KOS wan ren
® ese aig
4) forse ue and Adress of__, engaged the
Bu, Soleo een,
[rab sas hin lanka PEAS, pees
[ate 8
viet 90D rn patat payment or_ CARLA
a
FORM Of PAYHENT os es
pa ee | ee emer
BE ETE geno
Ceara TYRE warannaa aoe See Liatabte.
AD Beem
(LYAT Zen Aue Sale
Late
Dee
d
OFAC BECP tha
rane los
| fa parcial fall
HM payment of fe
CSCAPWOIDNo. | Signatur | By:
* ANNEX “Dt?
ARLENE R.A NG, M.D.
S: Luke's Moccal Gani, 279 & Rociguez, Sr. Blc® Kalusugan, Guezon City
Arene R. Ng = Proa,
VAT Reg, TIN: 206-62 482.002
REGEIVED from
with TIN No.
with address at.
the sum of pesos.
‘. Gitzen TIN
1390
2 anil
= : Caster uhoried Sto
5 aT on THIS OFFICIAL RECEIPT SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP”
ch
Tee irdeto, POS
1 ERR Bee Sip Caer
Hea
SS and Abe. women
I Bus, Syleof__ , the sum of
late ee dad fodn pest
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TN PAYMENT OF THE FOULOWING
JOSE FERNANDO C SYQUIA, M.D.
TNVOISE NO. "AMGUNT
Rm. 602 CHEC SIMC, E. Rodriquez St. Avenue, Quezon City
VAT Reg, TIN 921-269-314-000
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4.00634
OFFICIAL RECEIPT
resin? 820K
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FOR OF PAYUENT,
By,
err rer
- iho Reraseiore
ERRORS, owerazaen
2 aA RRWnUARe § SPURWAY INTL. MARKETING CORP.
“YOUR PARTNER IN ARCHITECTURAL BUILDING HARDWARES”
ANNEX “E"
June 7, 2017
E OF EMPLOYMENT AND COMPENSATIC
This is to certify that DIANA V. ROS is an cmployes of SPURWAY INTL.
MARKETING CORP. since July 26, 2016 and presently holding a regular appointment
with the position of HR and Admin, Manager.
His/Her present monthly compensation is as follows
Basic Salary P 15,000.00
Allowance 25,00
Total P 40,000.00
This certification is being issued upon the request of Diana V. Res in connection with
hisher application for Personal Loan.
Done in Quezon City on July 7, 2017.
oni habtis
Accounting Head
St, Brgy: Mariana Tela: 413-7124 to 26; 415-5911 to 12 Fax: 727-4128 (57-6 Aurora Dvd, Salapan
Now Manila, Quezon City ‘e-mail address: spurwayiatcrnaionulsules@ymaiLcom San Juan City ANNEX)"
| DIANA. ROS
HUMAN RESOURCES & ADMIN HEAD
| auezon ity
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We DESMARK CORPORATION continuity Strive to give yun OUT glemune PATS needed at low prices. Bh,
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REPUBLIKA NG PILIPINAS > ANNEX ‘G!
LUNGSOD NG QUEZON )S.5.
SALAYSAYSAY NG TESTIGO
XXX
AKO, si SALVADOR NAPILE, JR., nasa hustong gulang
walang asawa, at kasalukuyang naninirahan sa 86 IBP Road Pook
Pag-asa, Batasan Hills, Quezon City, matapos makapanumpa ng
naaayon sa betas ay malaya at kusang loob na nagpapahayag ng
mga sumusunod:
1. Na ako po ay testigo ni Diana Ros Vera sa kanyang
isasampang kasong Reckless Imprudence Resulting in Serious
Physical Injuries and Damage to Property laban kay Patrick N
Golangco;
2. Na galing po ako sa loob ng simbahan ng Mt Carmell sé
Broadway Street ng Biyernes, Marso 17, 2017 bandang
6:30PM, papalabas na po ako ng gate ng nasabing simbahan
ay nakita ako ang isang B.1e Porch papuntang E. Rodriguez na
nag-overtake sa mga nalahintong sasakyan sé harapan nito
dala ng traffic;
3. Na ang nasabing blue porch ay nagcounterflow para iwasan
ang traffic at dahil doon ay nakasalubong niya ang isang pulang
motorsiklo na galing na kumaliwa galing sa 4" St, at binangga
niya ito;
4. Na nasaksihan ko ang pagtilapon noong nakasakay se
motorsiklo at bumagsak sa puno ng mangga s@ bandang
intersection ng 4" Street a: Broadway Street;
5. Na ang nasabing blue por:h ay huminto lang sandali pero hindi
bumaba ang driver at umaiis din. 6. Na nakita kong hinabol agad ng isang tricycle na berde para
makuha ang pagkakakilanian ng mga nakasakay ng blue porch.
BILANG PATOTOO SA LAHAT NG ITO, inilagda ko ang aking
pangalan ngayong ika - 9 ng Hunyo 2017 sa Lungsod ng Quezon.
se
NEB sone JR.
Nagsasalaysay
SUBSCRIBED AND SWORN to before me this 9th day of June
2017 in Quezon City. | further certify that | have personally examined
the affiant presented his UMID ID # CRN-0033-2582682-7 and that |
am satisfied that he voluntary executed and understood his yy
Doc, No. (ee, Ais %y
Page No, nti 1. CHONG
ae at xe
Book No._2L ablc Atomney
Series of 2017 Peesant © AA. 106) REPUBLIKANGPILIPINAS +) ANNEX “y
LUNGSOD NG QUEZON )SS.
SALAYSAYSAY NG TESTIGO
XXX
AKO, si APRIL ESGUERRA DE JESUS, nasa hustong gulang,
may asawa, at kasalukuyang ns
inirahan sa #83 Pungo, Calumpit,
Bulacan, matapos makapanumpa ng naaayon sa batas ay malaya at
kusang loob na nagpapahayag mg mga sumusunod:
1..Na ako po ay testigo ni Diana Ros Vera sa kanyang
isasampang kasong Reckless Imprudence Resulting in Serious
Physical Injuries and Damage to Property laban kay Patrick N.
Golangco;
2. Na noong Biyernes, Marse 17, 2017 bandang 6:30PM habang
ako po ay kasalukuyang “aglalakad sa kanto ng 4" Street at
Broadway Street ay may nakita akong sasakyan sa di kalayuan
na Porch Sedan, at binanyga niya ang isang pulang motorsikio
na Honda at may sakay née isang babae:
3. Na ang nasabing blue porch ay nagcounterflow para iwasan
ang traffic at dahil doon ay nakasalubong niya ang isang pulang
motorsiklo na kumaliwa galing sa 4" St, at binangga niya ito;
4. Sobrang bilis po ng takbo ng blue porch kaya noong binennga
niya ang motoksiklo ay luinipad po to sa ere at tumilapon ang
sakay na babae
5. Na noong nasa harapan na siya ng babaeng tumilapon ay para
pa pong aatrasan pa niya ang biktima kasi umilaw yung likuran
ng kotse na parang gus:0 pa niyang tuluyan ang babaeng
walang malay pero di nia niya tinuloy ang pag-atras kasi
hinarangan siya ng ibang tao na nandoon; 6. Na nasaksihan ko ang pagtilapon noong nakasakay sa
motorsiklo at bumagsak sa puno ng mangga sa bandang
intersection ng 4" Street at Broadway Sireet;
BILANG PATOTOO SA LAHAT NG ITO, inilagda ko ang aking
pangalan ngayong ika - 7 ng Hulyo 2017 sa Lungsod ng Quezon.
APRIL Rovere DE JESUS.
Nagsasalaysay
SUBSCRIBED AND SWORN to before me this 7th day of July
2017 in Quezon City. | further certify that | have personally examined
the affiant presented her Postal !D Number PRN EO8170368081 and
that | am satisfied that she voluntary executed and understood her
affidavit
=
ples
Doc. No. Ll / if
Page No.4 gross ce
Book No. TL. tai
Sor amas una 1o
Series of 2017 =
Republic of the Philippines ANNEX en
Department of Justice
OFFICE OF THE CITY PROSECUTOR
Quezon City
DIANA V. ROS
Complainant,
-versus- XV-030-INV-17G-00524
For: Multiple Serious Physical Injuries
PATRICK NG GOLANGCO,
Respondent,
x
COUNTER-AFFIDAVIT
I, PATRICK NG GOLANGCO, Filipino, married, of legal age with
residence at 71 Maryland St., Cul2ao, Quezon City, after having been duly
sworn in accordance with law, hereby depose and state that:
1. On 31 July 2017, 1 received a subpoena dated 13 July 2017,
issued by Honorable Deputy Assistant City Prosecutor Melvin A. Matti
(“Honorable Deputy Assistant City Prosecutor Marti”), requiring me to
appear before the Office of the City Prosecutor on 2 August 2017 at 2:30pm
2. ‘During the said hearing, I received, through my counsel, a copy
of the Reklamong Salaysay executed by Diana V. Ros.
3. I am submitting this Counter-Affidavit to controvert the
allegations in the said Reklamong Salaysay, and clear myself of the charges
against me which are contrary °o the truth, ane evidently intended for
harassment and malicious purposes only.
4. Tam being charged for Multiple Serious Physical Injuries, in the
Rotlamong Sanaysay filed by complainant Diana V. Ros, and subscribed before
the Honorable Public Prosecutor Ulric Q, Badiola on 10 July 2017
4,1. However, during the hearing on 2 August 2017, the
Honorable Deputy Assistant City Prosecutor Matti commented that
the charge, in consideration of the allegations in the Redlamong
Sanaysay, should be “reckless imprudence resulting wo muluplc
serious physical injuries”. 5. The Reklameng Salpsqy filed by complainant is clearly malicious,
and obviously for the sole purpose of claiming more money from me, and
must be dismissed outright. The filing of the present criminal charge has
caused me and my family, mental anguish, serious anxiety, and humiliation
in the community where we belong.
6. Moreover, the Complainant failed to allege elements of
Multiple Serious Physical Injuries or Reckless Imprudence Resulting to
Serious Physical Injuries as provided by the Revised Penal Code. Failure to
allege the elements of Multiple Serious Physical Injuries or Reckless
Imprudence Resulting to Serious Physical Injuries is fatal to the Complaint
7. Nonetheless, I speciiically and vehemently deny for being
untrue and perjurious the allegations in the Reklamong Sanaysay of Diana V.
Ros that I had commived Multisle Serious Physical Injuries or Reckless
Imprudence Resulting to Serious Physical Injuries, the truth of the matter
being as follows:
8. On 17 March 2017, while I was driving a Boxster Sedan 1997
with a platc number BEA 232, 2 Honda 125 motorcycle which the
Complainant was driving at that time accidentally collided with my vehicle.
9. The Complainant was then brought to St Luke’s Medical
Genter - Quezon City, (“St, Luke’s") for the treatment of the injuries she
sustained because of said accident.
10. Having been informed that the Complainant was admitted to
St. Luke’s, I made a deposit in the amount of One Hundred Thousand Pesos
(Php 100,000) to ensure that service will be immediately rendered to her!
11, Talso made sure that the hospital bill be under my name, and
gave my contact details, so that any concem in relation to the financial
aspect of the Complainant’s hospitalization be directly raised to me
12, The next day, or on 18 March 2017, I made another deposit in
the amount of Fifteen Thousand Pesos (Php15,000) to ensure that continued
quality service? be given to the Complainant.
18. The next day, or on 19 March 2017, I made another deposit in
the amount of One Hundred Thor sand Pesos (Php! 00,000) to St. Luke’s'.
14. Days after, or on 22 March 2017, I made another deposit of
One Hundred Thousand Pesos (Php 100,000) to St. Luke’s*.
"A copy of the Offical Reeeipe Based by St. Lake's proving Uhe sane i atathied hesela as deze Hane
sade ivegeal par hereof
© A copy af the Official Receipe issued by St. Luke's proving the same is atached herein as Asinene2 anc
made integral part hereof,
* A copy of the Offical Receipts ised by St, Luke's proving the same ave atached herein as Ammewes 3
and Zand made intogral part hereot 15, On the day the Complainant is to be discharged, or on 8 Avril
2017, I paid for her hospital bills in the amount of Four fined Twenty
Thousand One Hundred Sixty Seven and 15/100 (Php$20,167.15)5, I also
paid for the professional fees of all her doctors in the Samui eure
Hundred Nineteen Thousand Nine Hundred Pesos (Php419,900}.° also
paid the amount of Twenty Five Thousand Pesos (Php25,000) to Dr
Rhoderick Casis as part of his professional fees.”
16. On the day of the discharge of the Complainant, I purchased a
commode and a walker, both of which amounts to Three Thousand Nine
Hundred Pesos (Php3,900}. I also provided a standard wheel chair since |
was advised by onc of the therapists assigned to her that she does not need a
reclining wheel chair.
17, The total amount I paid for the hospiwlization of the
Complainant was One Million One Hundred Eighty Four Thowswad $i
Seven and 15/100 Pesos (Php1, 184,067.15). This amount is apart from the
other amount the mother of the Complainant, Mrs, Marilou Ros (“Mrs
Ros”), who was the one talking to my counsel and my wile regardiag the
settlement between me and the Complainant, asked from ny wife.
17.1. On 18 March 2017, Mrs. Ros asked for Four Thousand
Pesos (Php4,000) for their daily expenses, to which my wife
obliged.®
17.2. On 28 March 2017, after meeting with my wife and my
counsel, Mrs. Ros once again asked for Two Thousand Pesos
(Php2,000) also for their daily expenses, which my wife
accommodated.
18. Although I was advised by some of my friends to transfer the
Complainant to other hospital which charges less than what St, Luke’s
charges, I did not since 1 am concerned of the welfare of the Complainant
‘This I assured Mrs. Ros.
19. Mrs. Ros, in turn, assured us that they will not file 2 complain’?
provided I pay the hospital bills and give them support after the
Complainant is discharged from the hospital.
A copy of dhe Official Receipt issued by St Luse’s proving the same is auached herein as Annex 3 a
‘macle integral pacthereol
*A copy of dhe Offidal Receige issued by 5
made integral part bereo!
SA copy of the Officia: Receipt isnsedl by St, Lolee’s proving the came ip attached! herein as Anmoxe 7
‘mauie integral part hereos
7 © copy of dhe Doctor's Profesional Slip proving the same is auachzd herein as Amnex 8 and made:
integral part hereo!,
4. copy of the Aciowiedgment Reesipt signed by Complaina
herein a5 Anmex 9 ad male integral part hereo!
Luke's proving the same is attached herein as Annex 6 an!
and
proving the same is attached 19.1, Following the sepresentation of Mrs. Ros, 1 caused the
preparation of “Release, Waiver and Quitclaim” for the signature
of Mrs. Ros, or of the Complainant.
19.2. J also reiterated to Mrs, Ros that I can only give the
Complainant the lump sum amount of Three Hundred Thousand
Pesos (Php300,000) since such amount is what I am capable of
giving after all che hospital bills I paid for the Gornplainant.
20. While Complainant was in the hospital, with the guise of
signing the Waiver, Mrs. Ros would often call for a meeting and discuss the
setilement they (she and the Complainant) purportedly wants to have with
us. However, no agreement was finalized since Mrs. Ros was asking an
amount [ am not capable of giving her.
20.1. Ina mecting dased 28 March 2017, I was surprised when
Mrs, Res demanded, without providing any basis, that they will
need the amount of One Million Eight Hundred ‘Thousand Pesos
(Php1,800,000) to further assist the Complainant. 1, through my
wife and counsel, asked for a breakdown of the asking price of
Mrs, Ros but she did not give us any.
20.2. Absent any details on the amount she was requesting, my
wife and counsel did not agree to give her such amount.
20.3. Worse, despite my continuous payment of the hospital
bills and my offér of an aaiount to assist in the Complainant’s post
hospitalization expense, Mrs. Ros nor de Complainant did not
sign the Waiver they promised to sign.
21. After the discharge of the Complainant, | tried to reach out to
them regarding the post hospitalic tion expenses we are yet tw settle, My
utmost effort to reach out to them b:lies the allegation of the Complainant.
22, On 2 May 2017, Aty. Leo Afionuevo (“Atty. Afionuevo")
contacted my counsel regarding the setdlement which the Complainant and I
was not able to finalize. Awy. Afionuevo further mentioned that Auy
Borlas, the lawyer Mrs. Ros was referring to when the Complainant was still
in the hospital, is no longer the Ros’ lawyer.
23. The following day, my counsel received a leter from the
Fernandez, Del Castillo and Associates, asking for a conference in relation to
the said sculemen:,
° A printout of the sereenshot of the said SMS is attached herein as Annex 10 and made
here 24, My counsel immediately contacted the lawyers and the Roses to
clarify which between the counsels will represent the Complainant, Mrs. Ros
responded and relayed that it will be Atty. Afionuevo who will represent the
Complainant.
My counsel eventually met with Atty, Aflonuevo. The lateer
provided the former a copy of tabulation of expenses! wisich the
Complainant prepared to support their offer for setilement in the amount of
Nine Hundred Fifty One Thousand Two Hundred Twenty Five Pesos
(Php951,225)
26. My counsel, upon my request, did not agree with the amount
provided by the Complainant, through Auy. Afonuevo. Further, the
estimates are apparently blown up and exaggerated.
26.1. To reiterate, I paid more than a million pesos for the
hospitalization of the Complainant through five of my credit cards
Until now, I am still paying for the same in installments
Considering the foregoing and the fact that I also have to attend to
the needs of my family, what I can offer her as post hospitalization
assistance is a lump sum of Three Hundred Thousand Pesos
(Piap300,000).
26.2. Further, as cmphesized by my counsel to Auly.
Afionuevo, it was suggested to the Complainant that they seek
rehabilitation, laboratory procedures and professional aid from
other hospitals and doctors which charge lesser than what St.
Luke's and its doctors charge.
26.3, Also, the Complainant was asking for the reimbursement
of a reclining chair when I already made available for her a
standard wheel chair. ! did not buy a reclining wheel chair since,
when my wife and my counsel, during one of their visits to the
hospital, checked with the therapist in charge of Complainant, it
was mentioned that the Complainant does not actually need a
reclining one.
264. ‘The Complainant also estimated the damage to her
Honda 125 in the amount of Seventy Five Thousand Pesos
(Php75,000) without anything to substantiate the same.
26.5. The estimated expenses even contain an allocation for a
caregiver (in the amount of Six Thousand Pesos) and contingency
(in the amount of Fifty Thousand Pesos).
A copy of the is attached herein as Annex 1 and made integral part hereo!, 26.6. The monthly salary the Complainant allegedly receives
(in the amount of Forty Thousand Pesos) is not supported as well
with pertinent documents.
26.7. Considering the foregoing, it is but understandable why 1
did not easily agree with the amount of money they were asking.
‘The Complainant is only using
this Honorable Office to get
more money from me.
27, Failing her attempt to request a large sum of money from me,
the Complainant now comes and ases this Honorable Office to file 2 case to
get the same.
28, Although the Complainant has enumerated the expenses'! she
has incurred from the time of her discharge until the ime of filing the
Complainant, and appended vasious receipts to purportedly support her
laim, there are stil items which, to me, are questionable.
28.1. Despite their alleged incapability to pay the post
hospitalization medical expenses, the Complainant continue to
have her rehabilitation, laboratory procedure and consultation at
St. Luke’s. Now that she is indebted and can no longer pay, she
accuscs me of not communicating with her about the post-
hospitalization expenses she wants me to shoulder. Again, from
the start, I was clear with how much 1 am capable to provide as
post-hospitalization expense, My counsel reiterated the same with
their counsel, Atty. Aficnuevo. It is then a wonder why despite the
foregoing, the Complainant still availed services from an
expensive and far hospital whereas she could have sought the
services of a nearer and cheaper, but of quality, hospital.
982. Again, the reclining whed chair which the Complainant
purchase out of her waim cannot be changed against me since
dutifully provided her with a standard wheel chair. My wile and
my counsel was advised by the therapist attending to the
Complainant that @ standard wheel chair may be used by the
Complainant.
28.3. There is a hospital near the Complainant’s residence but
she chose to go to St. Luke’s and apart from the costly services she
avails, she wants me to answer for the transportation costs she
2 Annes D of the Rélamong Soups incurs, What is ludicrovs is that the tabulation of expenses show
that Complainant goes to the hospital three times @ day.!2
28.4. Also, the receipts attached in the Reklamong Salaysayi does
not tilly with the summary of expenses the Complainant was
asking for, The “MRI to the Brain”, according to Annex [3
atiached to her Reklamong Sonaysay, costs Php1 7,954.40 whereas in
the official receipt issued by St. Luke's dated 24 June 2017, also
atiached in her Reélameng Sanaysay, the Complainant paid the
amount of Php12,978.40. Further, for the rehabilitation costs, the
Complainant claims the amount of Phpl.670, per session, but the
official receipts issued by St. Luke’s dated 10 May 2017, 15
2017, 22 May 2017 and 25 May 2017, which are all attached in
the Raklamong Sanaysay show that for each session, Complainant
paid Php|,248.
28.5. Further, the Certificate of Employment’ issued by the
Complainant's employer cannot be considered a relialsle proof for
the Complainant's income, Quite conveniently for the
Complainant, a big chunk of her salary, Php25,000, wo be exact, is
from “Allowance” while her basic salary is Php19,000.
not question the authority of her ezployer in issuing the
Centificate of Employment, it is my belie? that what can
substantiate her claim is the income tax return filed with the
Bureau of Internal Revenue.
29. My counsel, after the hearing on 2 August 2017, tied vo contact
them through a phone call and reiterate that what I can only offer them is
Three Hundred Thousand Pesos (Php300,000). Mrs. Ros was the one who
answered the phone call and she mentioned that apart from the medical
expenses, they have to pay their lawyer, Atty. Castillo. Mrs. Ros, in her
attempt to persuade us to increase our offer, even had the audacity to
mention that the employer of the Complainant talked to me and allegedly, 1
promised to pay a higher amount, which is an uuer falsity.
30. From the foregoing, it is clear that the Complainant fails to see
that my capability to pay for all her post hospitalization expense is limited.
As what I have been telling her and Mrs, Ros, through my counsel and my
wife, what I can offer her is only Three Hundred Thousand Pesos
(Php300,000) in addition to what I have already paid for her hospital bills
and related expense in the amount of One Million One Hundred Eighty
Four Thousand Sixty Seven and 15/100 Pesos (Php 1,184,067.15).
31. To be clear, I understand the plight of the Complainant and
her family. In fact, to ond the troubles of litigation and to promote seulement
12 Page 2 of Annee D ofthe Rellamang Sanaysay:
18 Annex E of the Rektenoug Sergi of disputes as 2 matter of public policy, J am willing to settle with them the
rater in relation co the Complainant's expenses incurred after being
Gischarged fiom the hospital. However, it is my fervent prayer that the
Complainant understand that my willingness to increase my offer does not
match my ability to do so.
32. Hence, my offer for compromise still stands at the amount of
‘Three Hundred Thousand Pesos (Php300,000). This is the only amount 1
can offer the Complainant giver the current status of my finances. To
repeat, without being redundant, I am stil] paying in installments for the
hospital bills of the Complainant in. $t. Lutke’s.
My offer of compromise is not
admission of any criminal or
civil Hability for the injury
sustained by the Complainant,
33. Lwas advised by my counsel that Section 27 of Rule 130 of the
Rules of Court provides:
"Sec. 27. Cer of compromise not admissible. In civil
cases, en offer of corspromise is aot an admission of ay
liability, end is not dmissible in evidence ageinst the
offeror.
i wal_ceses, except those involving quasi
offenses vininl negligence) or those allowed by lew to be
compromised, an offer of compromise by the accused may
be received in evidence as an implied admission of guilt.
OK
An offer to pay ee
acca peter oc ene oy has ena acl
in_svidence ss prot of cvil or crimingl liability for the | liability for
injury.”
34, As mentioned to me by my counsel, the Honorable Supreme
Gourt in Pentagon Steel Corporation 2 Court of Appeats!* have examined the
reasons why compromise offers must not be considered as evidence against
the offeror in this wise: -
“First, since the law favors the settlement of
controversies out of court, a person is entitled to “buy his
HM GR.No, 174141, 26 Jone 2608. or her peace’ without danger of being prejudiced in case
his or her efforts fails x x x
“Second, offers for compromise are inelevant
because they are not intended as admissions by the
parties making them. A true offer of compromises
does not, in legal contemplation, involve an
admission on the part of a defendant that he or
she is legally liable, x x x, since it made with a
view to avoid controversy and save the expense
of Kitigation,
35. My offer for a compromise does not, in any way, translate into
an admission of my guilt or liability, whether civil or criminal, for the injury
sustained by Complainant.
36. Tam making such offer to promote settlement of disputes as a
matter of public policy. | am making an offer of compromise not as a
confession of weakness but as a showing of good will and good faith in
ending the present controversy. I am sure the Complainant will agree that
the present concern has been prejudicial not only on both of us, but more
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