SUMMON

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Republic of the Philippines

Province of Antique
Municipality of Laua-an
Barangay Guinbanga-an
-oOo-

KP Case No. ______________


Case: ____________________
Date Filled: August 29, 2021

OFFICE OF THE PUNONG BARANGAY

1. ROSEMARIE MARIANO Against ERNIE MARIANO


2. EDUARD MARIANO Respondent/s
Complainant/s

To Mr. Mariano
SUMMON
You are hereby summon to appear before me in person, together with your witness, on the 29th day of August at barangay Hall at 1PM in the afternoon, then
and there to answer to a complainant made before me, for mediate/conciliation of your dispute with complainant.

You are hereby warned if you refuse or wilfully fail to appear in obedience to this summon you may be barred filling any counterclaim arising from this
complaint.

FAIL NOT or else faces punishment as for contempt of court.

This 29th day of August 2021.

JUANITO S. MARFIL
Punong Barangay

This is to certify that the summon was personally served to the person of the signatory below.

However:
1. He/She refused to receive the copy and refused to sign.
2. He/She received a copy but refuses to sign.
3. He/She is no longer residing in this barangay.

________________________________
Serving Officer/Barangay Tanod

ERNIE MARIANO _________________________ _________________________


(signature over printed name) complainant witness

Cut here - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - HAWID KA RESPONDENT - - - - - - - - - - - - - -

Republic of the Philippines


Province of Antique
Municipality of Laua-an
Barangay Guinbanga-an
-oOo-

OFFICE OF THE PUNONG BARANGAY


Date: Aug. 29, 2021

1. ROSEMARIE MARIANO Against ERNIE MARIANO


2. EDUARD MARIANO Respondent/s
Complainant/s

To Mr. Mariano

SUMMON
You are hereby summon to appear before me in person, together with your witness, on the 29th day of August at barangay Hall at 1PM in the afternoon, then and there
to answer to a complainant made before me, for mediate/conciliation of your dispute with complainant.

You are hereby warned if you refuse or wilfully fail to appear in obedience to this summon you may be barred filling any counterclaim arising from this
complaint.

FAIL NOT or else faces punishment as for contempt of court.

This 29th day of August 2021.

JUANITO S. MARFIL
Punong Barangay

ERNIE MARIANO ________________________________


Signature over printed name witness

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