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In the City of Pagadian.)S.s.
x---------------------------------------/
AFFIDAVIT OF COMPLAINT
I, _________, Filipino of legal age, married and a resident of
Poblacion, San Pablo, Zamboanga del Sur, after having duly sworn to in
accordance with law, do hereby depose and avers that;
1.
held
on
__________
at
the
Barangay
Hall.
However,
the
6.
___________, Filipino, of
MOY
RESPETAR
NAKO
UG
SA
AMONG
BARANGAY
smashed the table which is just beside me; he then kicked one of the
chair in front of me; at that moment, I then stood and tried to calm him
down, however, he tapped my hands and pushed me away;
10.
when I heard this statement, it was only then I together with our
team realized and learnt that ______________ together with his unnamed
I then advised _________ and his wife to just leave the premises
so that we can proceed and continue to render and deliver the basic
public services to the constituent of Barangay Sagasan, San Pablo,
Zamboanga del Sur; the two then left the premises and went to a
nearby Sari-sari store;
13.
continue what we have started; I also called the people to come back;
14.
1.
___________, Filipino, of
WALA
MOY
RESPETAR
NAKO
UG
SA
AMONG
7.
_____ tapped the hands of Hon. ____ and pushed the latter away;
9.
That instant when __________ laid his hand on Hon. _______, some
Hon. _______ then told ______ to calm down and to settle the
DIRI,
WALA
MANKA
KA
HULAT
NAMO
UG
KANG
12.
Hon. ___________ then advised _________ and his wife to just leave
and veracity of the foregoing statements and for any legal purpose this
may serve;
IN WITNESS WHEREOF, I have hereunto affix my signature this ___
day of April 2016, at Pagadian City, Zambaonga del Sur, Philippines.
____________
Affiant