KATARUNGANG PAMBARANGAY - LGRC DILG 10

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OFFICER’S RETURN
I served this summons upon respondent _________________________
on the ______ day of ______________, 19____, and upon respondent
___________________________ on the day of ________________,
19____, by:
(Write name/s of respondent/s before mode by which he/they was/were
served.)
Respondent/s
__________________________ 1. handing to him/them said
summons in person, or
__________________________ 2. handing to him/them said
summons and he/they refused to
receive it, or
__________________________ 3. leaving said summons at his/
their dwelling with __________
(name) a 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.
_____________
Officer
Received by Respondent/s representative/s:
___________________
Signature
___________________
Signature
__________________
Date
__________________
Date
92 A HANDBOOK