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REPUBLIC OF THE PHILIPPINES

PROVINCE OF CAGAYAN PROVINCE


MUNICIPALITY OF DALUPIRI ISLAND
BARANGAY KATALTALONAN

OFFICE OF THE LUPONG TAGAPAMAYAPA

MRS. MAY SAMURAI, Barangay Case No. 19-S-2002


Complainant For: Threats and Physical Injuries

- Against -

SUNTOK AGAWBUKID,
TATANG AGAWBUKID,
SUGSOG AGAWBUKID,
Respondents.

TO: Suntok Agawbukid


Tatang Agawbukid
Sugsog Agawbukid

COMPLAINT

I hereby complaint against the above named respondents for violating my/our rights in
the following manner:

Siak ni MAY SAMURAI immayak agreklamo pang-gep ti panangdanog da kaniak ken


panangpangta da kanyak.

Tapno adda talked daytoy nga kasuratan agperma ak ditoy baba na.

THEREFORE, I/WE pray that the following relief/s be granted to me/us in accordance
with law and/or equity:

Made this 31th day of July 2002.

(SGD) MAY SAMURAI


Complaint/s

Received and filed this 31th day of July 2002.

(SGD) NAKA TUGAW


Barangay Captain/LC

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