KP Form 22
Republic of the Philippines
Province of National Capital Region
CITY/MUNICIPALITY OF MAKATI
Barangay Bel Air Makati
OFFICE OF THE LUPONG TAGAPAMAYAPA
JUNJUN B. BINDOY,
No. 1234xxx
Complainant,
Barangay Case
For: Breach of Contract
and Collection for a Sum
of Money
- - against - -
BENNY B. PENOY,
Respondent.
CERTIFICATION
TO
FILE
ACTION
This is to certify that:
1. There was a personal confrontation between the parties
before the Punong Barangay but mediation failed;
2. The Punong Barangay set the meeting of the parties for the
constitution of the Pangkat;
3. The respondent willfully failed or refused to appear without
justifiable reason at the conciliation proceedings before the
Pangat; and
4. Therefore, the corresponding complaint for the dispute may
now be filed in court/ government office.
___________________________________
Pangkat Secretary
Attested by:
____________________________________
KP Form 22
Pangkat Chairman