City of Pagadian Barangay Sto. Niño

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KP Form No.

11
Republic of the Philippines
Province of Zamboanga del Sur
CITY OF PAGADIAN
BARANGAY STO. NIÑO
Tel. No. 215-2331 / Official Website: stoninio.weebly.com

____________________________ Barangay Case No. KP- 2022-_____-_____


____________________________ For: ___________________________________
____________________________
____________________________
Complainant

- Against -

_____________________________
________________________

Sto. NiÑ o, Pagadian City_____


Respondent/s

NOTICE TO CHOSEN PANGKAT MEMBER

_____________
Date

TO: _________________________________
_________________________________

Notice is hereby given that you have been chosen member of the Pangkat ng Tagapagkasundo to
amicably conciliate the dispute between the parties in the above-entitled case on the ______ day of
____________________ 2022 at ______________ in the ______________.

ELIEZER H. ANUTA
Punong Barangay/Lupon Chairman

Received this ____________________ day of _____________, 2022.

_______________________
Pangkat Member

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