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REPUBLIC OF THE PHILIPPINES

Province of Masbate
Municipality of San Fernando
BARANGAY BAYBAY-DAGAT

OFFICE OF THE LUPONG TAGAPAMAYAPA

1. VIRTUCIO AZARES Brgy. Case No._______________


2. MICHAEL AZARES For:________________________
3. MARLA S. HONGO
4. ARNULFO AZARES
5. MARCELO AZARES
6. VICTOR AZARES
________________________
Complainants

-Against-

ESTERLITA D. AZARES
Respondent

CERTIFICATION TO FILE ACTION


This is to certify that there has been a personal confrontation between the parties before the
Punong Barangay but mediation failed, the Pangkat ng Tagapagkasundo was constituted but the
personal confrontation before the Pangkat likewise did not result into a settlement and therefore, the
corresponding complaint for the dispute may now be filed in court.
This __________ day of _____________________________________.

ALESSANDRO B. VILLAMOR
Barangay Secretary
ATTESTED:

EFREN A. NACIONAL
Punong Barangay

AURORA C. ESPARAGAL
Pangkat Chairman

ADELINO A. AZARES JR. NORA E. DRAGAS


Pangkat Member Pangkat Secretary

EMILY C. DICHE
Officer-In-Charge
REPUBLIC OF THE PHILIPPINES
Province of Masbate
Municipality of San Fernando
BARANGAY BAYBAY-DAGAT

OFFICE OF THE LUPONG TAGAPAMAYAPA

GEORGE (PATOK) BRITANICO Brgy. Case No._______________


Complainant For:________________________

-Against-
1. GIL L. AGOVIDA SR.
2. NESTOR ESPEJON JR.
3. ALYAS YUNI________
Respondents

CERTIFICATION TO FILE ACTION


This is to certify that there has been a personal confrontation between the parties before the
Punong Barangay but mediation failed, the Pangkat ng Tagapagkasundo was constituted but the
personal confrontation before the Pangkat likewise did not result into a settlement and therefore, the
corresponding complaint for the dispute may now be filed in court.
This __________ day of _____________________________________.

ALESSANDRO B. VILLAMOR
Barangay Secretary
ATTESTED:

EFREN A. NACIONAL
Punong Barangay

AURORA C. ESPARAGAL
Pangkat Chairman

ADELINO A. AZARES JR. NORA E. DRAGAS


Pangkat Member Pangkat Secretary

EMILY C. DICHE
Officer-In-Charge

REPUBLIC OF THE PHILIPPINES


Province of Masbate
Municipality of San Fernando
BARANGAY BAYBAY-DAGAT

OFFICE OF THE LUPONG TAGAPAMAYAPA

GEORGE (PATOK) BRITANICO Brgy. Case No._______________


Nagareklamo For:________________________

-Against-

1. GIL L. AGOVIDA SR.


2. NESTOR ESPEJON JR.
3. ALYAS YUNI_________
Inareklamo

COMPLAINT (REKLAMO)
Ako si George C. Britanico, residente san Barangay Baybay-Dagat, San Fernando,
Masbate, nagareklamo kan Gil L. Agovida Sr. kay san petsa Dos san Oktobre pasado alas nueve san
gab-e gin darusong ako ni Embyao, may dara na slicer maayo lang kay nakakuha ako sin kagkag,
amo an akun indepensa pagtitigbas niya. Kag gin sabihan niya ako sin maskin paryente ta ikaw dili ta
ikaw ookyan, papatayun ta ikaw.

Pagka-aga petsa tres san Oktobre na hapon gin korner ako san tulo sinda Gil Agovida Sr.,
Nestor Espejon Jr. kag Alyas Yuni. Hurubog, sinuntok ako ni Nestor kag gin labay ako sin hallow
block ni Gil.

ENTONCES, ako na nagahangay san hustisya.

Hinimo sani na petsa _____ san ________________, 20_____.

GEORGE (PATOK) BRITANICO


Nagareklamo

NARECIBE kag guin plantar sani na ______ san ___________________, 20_____ sa


Barangay Baybay-Dagat, San Fernando, Masbate.

EFREN A. NACIONAL
Punong Barangay

REPUBLIC OF THE PHILIPPINES


Province of Masbate
Municipality of San Fernando
BARANGAY BAYBAY-DAGAT

OFFICE OF THE LUPONG TAGAPAMAYAPA

CHRISTIAN BRABANTE Brgy. Case No._______________


Complainant For:________________________

-Against-
.
JOCELYN F. ALEGRE
Respondent

COMPLAINT (REKLAMO

Ako si Christian Brabante, barangay residente san __________________________, San


Fernando, Masbate. Nagareklamo sa kan Jocelyn F. Alegre, manunungod san iya utang kantidad
Kwatro Mil, Syete Sientos Pesos (Php 4,700.00) na dili nagaintyindi pagbayad san iya utang.

ENTONCES, ako na nagahangyo san hustisya.

Hinimo sani na petsa ____ san ____________________, 20______.

CHRISTIAN BRABANTE
Complainant

NARECIBE kag guin plantar sani na _____ san ___________________ 20_____ sa Barangay
Baybay-Dagat, San Fernando, Masbate.

EMILY C. DICHE
Officer-In-Charge

REPUBLIC OF THE PHILIPPINES


Province of Masbate
Municipality of San Fernando
BARANGAY BAYBAY-DAGAT

OFFICE OF THE LUPONG TAGAPAMAYAPA

CHRISTIAN BRABANTE Brgy. Case No._______________


Complainant For:________________________

-Against-
.
JOCELYN F. ALEGRE
Respondent

CERTIFICATION TO FILE ACTION

This is to certify that respondent Jocelyn F. Alegre of Baybay-Dagat, San Fernando,


Masbate will fully refused to obey summons, therefore the corresponding complaint for the dispute
nay now be filed in court.

This _________ day of ________________________________________.

ALESSANDRO B. VILLAMOR
Barangay Secretary

ATTESTED:

EMILY C. DICHE
Officer-In-Charge

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