Annex E

REPUBLIC OF THE PHILIPPINES

Barangay Tabuc Suba
City Of Iloilo

OFFICE OF THE LUPONG TAGAPAMAYAPA

Albert T. Rodriguez Barangay Case No. ___________

Complainant For: COLLECTION OF SUM OF
MONEY

-against-

Carlos R. Calinog
Respondent

C E R T I F I C AT I O N T O F I L E AC T I O N

This is to certify that:

1. There has been no personal confrontation between the parties before the Punong
Barangay because the respondent was absent and that mediation failed.

2. The Pangkat Tagapagkasundo was constituted but there has been no personal
confrontation before the Pangkat likewise did not result into a settlement because
the respondent was absent.

3. Therefore, the corresponding complaint for the dispute may now be filed in
court/government office.

This 10th day of October 2020.

__________________________
Pangkat Secretary
Attested by:

_____________________________ _____________________________
Pangkat Chairperson Pangkat Member

_____________________________
Pangkat Member

Noted by:

PATROCINIO S. DELA CRUZ

Punong Barangay /
Lupon Chairperson