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Republic of the Philippines Province of Albay CITY OF LEGAZPI Barangay 42 (Rawis) OFFICE OF THE LUPONG TAGAPAMAYAPA

NGATASYA GUTIERREZ, Complainant -- against -Barangay Case No. ______ For: Non-payment of lease rentals.

JEANE NAPULIS, Respondent.

CERTIFICATION TO FILE ACTION This is to certify that: 1. There has been a personal confrontation between the parties before the Punong Barangay/Pangkat ng Tagapagkasundo; 2. A settlement was reached;

3. The settlement has been repudiated in a statement sworn to before the Punong Barangay by NGATASYA GUTIERREZ on ground of non-fulfillment of JEANE NAPULIS to pay the amount of rentals on the day agreed for reason ----4. in Court. Therefore, the corresponding complaint for the dispute may now be filed

This 14 day of August 2013 at Rawis, Legazpi City, Philippines.

-----------------------------------------------------Lupon Secretary

Attested: Brgy. Captain Oscar Robert Cristobal Pangkat Chairman

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