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Republic of the Philippines

Office of the Barangay Local Government Unit


BARANGAY STA. CATALINA
Zamboanga City

Case No.: ___________ For: __________________

___________________

___________________
Complainant/s

-Against-

___________________

___________________
Respondent/s

SUMMON

You are hereby summoned to appear before me on _________________, 2023 at ________o’clock in


the morning/afternoon at the Barangay Hall, then and there to answer to a complaint made before me for
Mediation/Conciliation of your disputes with complainant.

You are hereby warned that your refusal or willful disobedience to this summon will entitle the
complainant to proceed directly against you in court/government office where you may be barred from filing
counterclaim arising from said complainant.

FAIL NOT in the interest of JUSTICE.

This_______ day of ______________, 2023

ROSALINA T. DELA CRUZ


Punong Barangay

________________
Complainant

________________
Respondent

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