BARANGAY OFFICIALS February 13, 2020
QUIRINO “JERRY” MAGNAYE
BARANGAY CHAIRMAN
BARANGAY COUNCIL:
Antending Physician
EMMA PANTILO Ospital ng Maynila
DEOGRACIAS ALBARADO
Madam/Sir,
WILHELMINA DE GUZMAN
FROILAN SANCHEZ Respectfully request to conduct medico legal examination to one Arlyn P.
ALICIA JAMIAS Velenzuela, 54 years old, a resident of, 1314 Taal St. San Andres. Manila who was
ELMER CONCEPCION
phisically abuse by Jayjay Arcanghel alyas Barok, Further request a copy of said
CLYDE SARCIDA
Medico-Legal for the appropriate filling of case against the respondent.
Thank you for your usual cooperation.
KATHERINE GIORGIA S. KALAW
SK CHAIRMAN
HELEN A. GUERRERO
SECRETARY
ELSA PANTILO
TREASURER
Wilhemina De Guzman
Barangay Kagawad
Froilan Sanchez
Barangay Kagawad
NOT VALID WITHOUT DRY SEAL
(ORIGINAL COPY)