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“+.sca2t Labor Relations Ce Regional Arbitration Branch IL Repubic of the Prilgones ‘Gy of San Department of Laber and Empicymert Et Pexpenas NATIONAL LABOR RELATIONS COMMISSION Regional Arbitration Branch Ne. IT are, ese a ov NLRC CASENO, RAB [IT_24- 80 05 - £5 - LA Ayer Qsce Sitemations’ tyre Mend Aeeseede COMPLAINT Complainiis by counsel, respectfuly staters, that 1 NanectineConplanent_ ios urine Vlorn Sec M_Age_S\_ Statue Mane Nurber & Complanenuts (a) 1 _F) 2 Adsess Sapa Biakas Mabalacel Pee pang Zp Code 3. ee 4 Rages __Sfhite Seve Baga Ages 5, Neme of Owner bd. Manager ([} Presicent () Son aes & Nibre of Benes CBI as fee 2G = 7. Date Employed _ 5 ge DeteDsmesec__1% Orr Zope 8 Oe ie armas: aoe Work Shee 9. Pace ofiok _SAgine Siver— yeses San 70. Saar Rete BS i200. (pe lee) dicey dPaymert Aeris, 44, NeyouaUnien Meme? () ? Name of Union Ig there an exeing CBA? [) Yer NO 42. Haveyou fled any simiar case deewhere? [) Yes ff Ne tyes, Where? Tse petien © lobe Hied up by ne Conplant OFiee, wvess complanarte is wahiegalceunsel CAUSE OF ACTION A Iliega! Dismissa! G® F. Iegal Deduction q) ‘Actual ‘ oO Specify: Constructive QO B. lege! Suspension < C. Regal Lay-OfF () . G. Unfair Labor Practice aC D. ization O specify: E. Underpayment ) Non-payment O 1. SaleriesWveges © 2, Overtime Pay ( H Damages: 3. Holiday Pay R Wa & Exenniey © 4. Premium for “ a a Mineayst Fee ® = AA J. Others: Specify. Cong. for tine Scilowing: ¢ eins stemont______—_— Paynont O63) wom Eat Bich id By Z a VERIFICATION having been duly swom fon accordance with law, ‘5 6y/. ri ia the ebove-entitied case; Gy~ ae {he contents hereof end ceciere th sare to be true tothe best of my knowledge Wie a3ve Tia end beet CERTIFICATION OF NON-FORUM SHOPPING AMD SWORN to before me this |“ _ day of, of 2527 220% _: inthe Cty of ‘eivant exhiting te me tis‘her Community Tax Cerieste No. at CONCHITA 0, EABANALAN

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