Republic of the Philippines

City of Legazpi
Barangay 40, Cruzada

OFFICE OF THE BARANGAY CAPTAIN

Winston Lupo , Barangay Case No. 45453646

Plaintiff, Nature of Case: Specific Performance
with Damages

- versus -

Dexter Orlina ,
Defendant,

CERTIFICATE TO FILE ACTION

This is to certify that:

A series of personal confrontations between the parties before the Punong

Barangay /Pangkat Tagapagkasundo were scheduled.

The defendant willfully failed/refused to appear without justifiable reason at

the mediation/confrontation proceedings set by the Punong
Barangay/Pangkat Tagapagkasundo.

Therefore, the corresponding complaint between the parties may now be filed
in the court/government office concerned.

This__ day of ____, 2018.

Fernando Tan
Lupon/Pangkat Secretary

ATTESTED BY:
Joaquin Guzman
Lupon/Pangkat Chairman