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Republic of the Philippines

City of Mandaue
Barangay Centro

OFFICE OF THE PUNONG


BARANGAY
Tel. # 232-2853
___________________________________ Barangay Case. No. 2015-_________________

___________________________________ For: __________________________________________


Complainant/s _________________________________________

-- against --

___________________________________
___________________________________

Respondent/s

COMPLAINT

I/WE hereby complain against above named respondent/s for violating my/our rights and
interests in the following manner:

__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________.

THEREFORE, I/WE pray that the following relief/s be granted to me/us in accordance with
law and/or equity:

__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
________________________________________.

Made this _______ day of ________________________________, 2018.

________________________________________

Complainant/s

Received and filed this ________ day of ____________________________, 2018.

IGNACIO G. CORTES II
Punong Barangay/Lupon Chairman

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