Annex D

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ANNEX D Republic of the Philippines Province of Davao del Norte CITY OF TAGU !

aran"a# a"u"po OFFIC$ OF T%$ &UPONG TAGAPA AYAPA

!aran"a# Case No' ()*+,-*) For. Collection of /u0 of one# R$/TITUTO Y' &IGO Complainant against D$!T Y' !AYAD Respondent

C$RTIFICATION TO FI&$ ACTION This is to certify that: 1. There has been a personal confrontation bet een the parties before the !"nong #arangay$!ang%at ng Tagapag%as"ndo& '. A settlement as reached& (. The settlement has been rep"diated in a statement s orn to before the !"nong #arangay by R$/TITUTO Y' &IGO on gro"nd of non) f"lfillment of D$!T Y' !AYAD to pay the principal amo"nt pl"s interest on the day agreed "pon in the settlement. *. Therefore+ the corresponding complaint for the disp"te may no be filed in Co"rt. This ((th day of October1 )2(* at Ta"u0 Cit#+ !hilippines.

rs' /he3inah Caru4 ,"pon -ecretary

Attested: !r"#' Captain $le0iah Dubhe ,"pon Chairman

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