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ANNEX 6

Republic of the Philippines


REGIONAL TRIAL COURT
7TH JUDICIAL REGION
Branch 15
Cebu City

STEPEHEN CURRY, Civil Case No. 12345


Plaintiff, For: Collection Sum of Money

-versus-

LEBRON JAMES,
Defendant.

Itemized Report of Service Expenses

No. Nature of Supporting Amount


Expense Document
1 Gas (2 liters) Petron Gasoline 100.00php
Station Sales
Invoice dated
January 28,
2019
2 Meal Jollibee Official 232.00php
(breakfast) Receipt dated
January 28,
2019.
3 Meal (lunch) Jollibee Official 159.00php
Receipt dated
January 28,
2019
4 Gas (2 liters) Petron Gasoline 100.00php
Station Sales
Receipt dated
February 5,
2019
5 Meal (lunch) Jollibee Official 120.00php
Receipt dated
February 5,
2019

Respectfully submitted, this 6th day of February 2019.

BRIAN SCALABRINE
NO. 1 NO. 2 NO. 3

NO. 4 NO. 5
Republic of the Philippines
Province of Cebu
Cebu City
Barangay Talamban

OFFICE OF THE BARANGAY CHAIRMAN

CERTIFICATION

This is to certify that Sheriff BRIAN SCALABRINE went to this office


to seek assistance from the Barangay Tanod on-duty to locate the residence of
MR. LEBRON JAMES at House 5, St. Patrick Street, Silver Hills
Subdivision, Nasipit Road, Talamban, Cebu City, for the purpose of serving
summons to the latter, together with a complaint filed against Mr. James in
the morning of the date of this certification, and returned in the afternoon at
the abovementioned address because Mr. James was not around. However,
Sheriff Scalabrine still failed to serve the summons because of the absence of
Mr. Lebron James on the same date.

This certification is issued upon the request of the abovementioned


name for whatever legal intent or purpose it may serve.

Issued this 28th day of January 2019 at Barangay Talamban, Cebu City,
Cebu, Philippines.

PEJA STOJAKOVIC
Barangay Secretary

Noted:

BRAD MILLER
Barangay Captain

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