Blotter Forms
Blotter Forms
Province of Albay
Municipality of Daraga
BARANGAY PANDAN
MARITES M. MIRAFLOR
Sir/Madam:
SUSAN O. AMARANTO
ROSALITO D. CIMANES Greetings of Peace and joy!
RODERICK M. You are hereby required to appear before the office of Punong
CONCEPCION
Barangay on______________, ______ day of ______, _____,
AVIJANE R. MANGAMPO
__________ in the _____________ for the hearing of your
ARNULFO M. MIRAFLOR complaint.
ALAN L. MAGAYANES
Thank you very much and more power.
ESPERANZA S. GRAGEDA
Barangay Treasurer
Noted by:
Signature: ____________________
Printed Name: ____________________
Date: ____________________
Time: ____________________
Republic of the Philippines
Province of Albay
Municipality of Daraga
BARANGAY BASCARAN
Barangay Officials:
________________
DOMINGO LL. MADRIDEO
Punong Barangay
_______________________________
Barangay Kagawad: _______________________________
RICHARD T. LORENTE
Ma’am/Sir:
EMMA L. LOZADA
JULIA L. DURAN Greetings of Peace and joy!
JEFFREY N. MIRABEL Please be informed that you are a respondent to a complaint filed in
this office by __________________________________________. In
BENITO L. LITA this connection, you are hereby requested to appear before the
REYNERIO L. DURAN JR
office of the Punong Barangay on _____________,
___________________, ______ ______________ at the Barangay
FERNAND D. LITA Hall of Bascaran.
Received by:
Signature: ____________________
Printed Name: ____________________
Date: ____________________
Time: ____________________
Republic of the Philippines
Province of Albay
Municipality of Daraga
BARANGAY BASCARAN
Barangay Officials:
_______________
DOMINGO LL. MADRIDEO
Punong Barangay
_______________________
Barangay Kagawad: _______________________
RICHARD T. LORENTE
Sir/Madam:
EMMA L. LOZADA
JULIA L. DURAN Greetings of Peace and joy!
JEFFREY N. MIRABEL You are hereby required to appear before the office of the VAW
Signature: ____________________
Printed Name: ____________________
Date: ____________________
Time: ____________________
Republic of the Philippines
Province of Albay
Municipality of Daraga
BARANGAY BASCARAN
Barangay Officials:
________________
DOMINGO LL. MADRIDEO
Punong Barangay
_______________________________
Barangay Kagawad: _______________________________
RICHARD T. LORENTE
Ma’am/Sir:
EMMA L. LOZADA
JULIA L. DURAN Greetings of Peace and joy!
JEFFREY N. MIRABEL Please be informed that you are a respondent to a complaint filed in
this office by __________________________________________. In
BENITO L. LITA this connection, you are hereby requested to appear before the
REYNERIO L. DURAN JR
office of the VAW DESK OFFICER on _____________,
___________________, ______ ______________ at the Barangay
FERNAND D. LITA Hall of Bascaran.
Received by:
Signature: ____________________
Printed Name: ____________________
Date: ____________________
Time: ____________________