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Republic of the Philippines

Province of Leyte
Municipality of DAGAMI
Barangay LAPU-LAPU DIST. 2

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OFFICE OF THE BARANGAY CHAIRMAN

January. 29, 2023

VIVIAN L. GISMA
Brgy. LAPU-LAPU DIST.2
Dagami, Leyte

You are hereby summoned to appear before me in person, at the Barangay Hall of Lapu-
Lapu Dist 2. On January. 30, 2023 at exactly 10:00 in the morning Then and there to answer to a
complaint made before me, for mediation / conciliation of your dispute with the complainant.

Hoping for your presence and cooperation

Thank you…

Certified by:
WILMA S. CHUPUNGCO
Brgy. Secretary

CARIDAD PERIDO
Complainant

MARIA CLEOFE B. DACUNO


Punong Barangay

Received by:

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