ANNEX C

REPUBLIC OF THE PHILIPPINES

Barangay Binitaya
Daraga, Albay
OFFICE OF THE LUPONG TAGAPAMAYAPA

RIZZA ANGELA MANGALLENO

Complainant
Barangay Case No. 332
against
For: Less Serious Physical Injuries
LEO SIRIOS, Jr.
Respondent
CERTIFICATION TO FILE ACTION
This is to certify that:
1. There has been no personal confrontation between the parties
before the Punong Barangay because the respondent was absent and that
mediation failed.
2. The Pangkat Tagapagkasundo was constituted but there has been
no personal confrontation before the Pangkat likewise did not result into a
settlement because the respondent was absent.
3. Therefore, the corresponding complaint for the dispute may now
be filed in court/government office.
This 5th day of April 2016.

[SIGNED]
Pangkat Secretary

Attested by:

[SIGNED]
Pangkat Chairperson

[SIGNED]
Pangkat Member

[SIGNED]
Pangkat Member

Noted by:

[SIGNED]
Punong Barangay /Lupon Chairperson