REPUBLIC OF THE PHILIPPINES

Barangay Pico
LA TRINIDAD BENGUET

OFFICE OF THE LUPONG TAGAPAMAYAPA

Marco Polo Barangay Case No.4321

Complainant/s For: Slight PhysicaInjury

-against-

Ben Damaso
Respondent/s

CERTIFICATION TO FILE ACTION

This is to certify that:

1. There has been no personal confrontation between the parties before the
Punong Barangay because the respondent was absent and that mediation
failed.

2. The Pangkat Tagapagkasundo was constituted but there has been no

persnonal confrontation before the Pangkat likewise did not result into a
settlement because the respondent was absent.

3. Therefore the corresponding complaint for the dispute may now be filed in
court/government office.

This 29th day of August 2019.

Ma. TERESA BARTOLOME

Pangkat Secretary

Attested by:

ALLAN D. POE ALLEX GOMEZ

Pangkat Chair Person Pangkat Member

FRANCISCO BALTAZAR
Pangkat Member
Noted by:

JUAN DELA CRUZ

Punong Barangay /
Lupon Chairperson