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Republic of the Philippines

Province of Davao Del Sur


Municipality of Padada
Barangay Lower Katipunan

OFFICE OF THE PUNONG BARANGAY

___________________ Barangay Case No. ________


___________________ 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 ______________, 202__.

__________________
Complainant/s
Received and filed this ____ day of _______________, 202__.

DIOSDADO L. NARCA
Punong Barangay

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