Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
                                       Province of Maguindanao
                                          Municipality of Upi
                                     Barangay Kibucay
                        OFFICE OF THE LUPONG TAGAPAMAYAPA
                                                               Brgy. Case no.2022-
                                                               DisputesFor:__________
Joh Tenorio Badoy
Complainant
Tow Ambang and Dennis Ambang
Against
                                       S U M MO N S
To: Tow Ambang and Dennis Ambang
You are hereby summoned to appear before me in person, together with your witnesses, on August 08,
2022 at 1:00 O’clock in 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 observance to this summons, you
may be barred from filing any counterclaim arising from said complaint.
       FAIL NOT or else faces punishment as for contempt of court.
       This 08th day of August 2022.
                                                               Mario P. Linto Sr.
                                                       Acting Punong Barangay/Lupon Chairman
                                OFFICER RETURN’S
        I serve this summons upon respondent on the ______________________by:
(write name/s of respondent before made by which he/they was/were served)
Respondent/s:
_____________ 1. Handling to him/them said summons in person, or
_____________ 2.Handling to him/them said summons ad he/they refused to receive it or
_____________3. Leaving said summons at his/their dwelling with                __________________
               (name) of 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.
                                                           MR._______________
                                                    -*           OFFICER
Received by respondent/s representative/s:
_____________________________     ______. 2022
Signature                                   Date
_____________________________          _______. 2022
Signature                                   Date
_____________________________           ________. 2022
Signature                                   Date
_____________________________           ________ 2022
Signature                                   Date
_____________________________           ________ 2022
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