Republic of the Philippines

Department of Labor and Employment

NATIONAL LABOR RELATIONS COMMISSION
National Capital Region
Quezon City

(name of complainant),
Complainant,

- versus - NLRC LAC CASE NO. _________________________

NLRC NCR CASE NO. ______________________

(name of company)
Respondents.
x--------------------------x

SATISFACTION OF JUDGMENT

The complainant, assisted by counsel, unto this Honorable Office

respectfully manifests that the respondents (name of company) and the

other respondents have fully satisfied the Judgment of the Honorable

Commission, by their act in paying to him and counsel the sums adjudged

therein as evidenced by Manager’s Check No. ___________in the name of

(name of complainant) in the amount of Php 100,000.00;

The complainant further manifests and admits that he has received

the foregoing sum and that the same is in full satisfaction of the said

judgment. In view of the foregoing, this document shall constitute a full and

complete release of any liability or obligation of the respondents in favor of

the complainant as a result of the instant case or any cause of action

proceeding therefrom.
 WHEREFORE, it is respectfully prayed that the Satisfaction of

Judgment be noted. Other equitable reliefs are likewise prayed for.

City of Pasay for Quezon City, __ ______________ 20__.

ALEX A. MOLO NAME OF COMPANY

Complainant Respondents

By:

____________________________________
Authorized representative

Assisted by: Assisted by:

Atty. __________________________ Atty. __________________________

Counsel for the Complainant Counsel for the Respondents
Roll of Attorney No. Roll of Attorney No.
PTR No. PTR No.
IBP No. IBP No.
MCLE Compliance No. MCLE Compliance No.

Executed Before:

HON. ________________________________
Labor Arbiter

Copy furnished:

COURT OF APPEALS
Ma. Orosa Street, Manila
(CA G.R. SP No. ___________)