City of Pagadian Barangay Sto. Niño
City of Pagadian Barangay Sto. Niño
9
Republic of the Philippines
Province of Zamboanga del Sur
CITY OF PAGADIAN
BARANGAY STO. NIÑO
Tel. No. 215-2331 / Official Website: stoninio.weebly.com
Complainant
- against -
___________________________
Purok _____________________,
SUMMONS
You are hereby summoned to appear before me in person, on the _____ day
of _______________, 2023 at ________ o’clock in the ____________, then
and there to answer to a complaint made before me, for mediation/conciliation of
your dispute with complaint/s.
You are hereby warned that if you refuse or willfully fail to appear in
obedience to this/these summon/s, you may be barred from filling any counterclaim
arising from said complainant/s.
ELIEZER H. ANUTA
Punong Barangay/Lupon Chairman
OFFICER’S RETURN
KP Form No.9
Respondent/s
_________________________ 1. Handling to him/them said summons in person, or
_________________________ 2. Handling to him/them said summons and he/they refused
to received it, or
__________________________3. Leaving said summons at his/their dwelling with __________
______________(name) a person of suitable age and
discretion residing therein, or
__________________________4. Leaving said summons at his/their office/place of business
with ________________________________, (name) a
competent person in charge thereof.
_______________________
Officer
____________________________ _________________
Signature Date
____________________________ _________________
Signature Date