Republic of the Philippines
Province of Isabela
Municipality of _________
Barangay __________
OFFICE OF THE PUNONG BARANGAY
_____________________ Barangay Case No. ___________
_____________________ For: _______________________
Complainants
Against
_____________________
_____________________
Respondent/s
SUMMONS
TO: ___________________ ______________________
___________________ ______________________
Respondent/s
You are hereby summoned to appear before me in person, together with your
witnesses, on the ____ day of ____________ at ___________ in the morning/afternoon, then
and there to answer to a complaint made before me, copy of which is attached hereto, for
mediation/conciliation of your dispute with complainant/s.
You are hereby warned that if you refuse or willfully fail to appear in obedience to this
summons, you may be barred from filling any counterclaim arising from said complaint.
FAIL NOT or else faces punishment as for contempt of court.
Issued this ____ day of __________ 2018, at _______,___________, __________.
__________________
Punong Barangay