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REPUBLIC OF THE PHILIPPINES

Province of Samar
Municipality of Zumarraga
BARANGAY MUALBUAL

OFFICE OF THE LUPONG TAGAPAMAYAPA

_________________________
Complainant

-Against- Barangay Case No. ____


For: _________________
_________________________
Respondent

CERTIFICATE TO FILE ACTION

This is to certify that:

1. There has been a personal confrontation between the parties before the Punong Barangay/
Pangkat ng Tagapagkasundo;

2. A settlement was reached;

3. The settlement has been repudiated in a statement sworn to before the Punong Barangay by
SANTOS V. ALBOTRA JR. and ROMULO V. ALBOTRA on ground of not arriving during the
personal confrontation for no valid reason provided.

4. Therefore, the corresponding complaint for the dispute may now filed in Court.

This 12th day of October 2021 at Mualbual Zumarraga, Samar Philippines.

ROSEMARIE A. PATRIMONIO
BARANGAY SECRETARY

ATTESTED:

BRGY. CAPTAIN RODEL L. GARCIA


Pangkat Chairman
REPUBLIC OF THE PHILIPPINES
Province of Samar
Municipality of Zumarraga
BARANGAY MUALBUAL

OFFICE OF THE LUPONG TAGAPAMAYAPA

_________________________
Complainant

-Against- Barangay Case No. ____


For: _________________
_________________________
Respondent

CERTIFICATE TO FILE ACTION

This is to certify that:

1. There has been a personal confrontation between the parties before the Punong Barangay/
Pangkat ng Tagapagkasundo;

2. A settlement was reached;

3.(state the complain)

_______________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

3. Therefore, the corresponding complaint for the dispute may now filed in Court.

This ____ day of ______ 20____ at Mualbual Zumarraga, Samar Philippines.

ROSEMARIE A. PATRIMONIO
BARANGAY SECRETARY

ATTESTED:

BRGY. CAPTAIN RODEL L. GARCIA


Pangkat Chairman
REPUBLIC OF THE PHILIPPINES
Province of Samar
Municipality of Zumarraga
BARANGAY MUALBUAL

OFFICE OF THE LUPONG TAGAPAMAYAPA


REPUBLIC OF THE PHILIPPINES
Province of Samar
Municipality of Zumarraga
BARANGAY MUALBUAL

OFFICE OF THE LUPONG TAGAPAMAYAPA

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