786 Balingkit Street Malate Manila, Philippines 0915-7008136, 525-97-88. Date Completed: September 16, 2017
Client Name: Sps. Crisostomo Ibarra and Maria Clara-Ibarra
Provincial Address: 899 Maligaya Street, Sta. Rosa City, Laguna Current Address: SAME Contact Information: 0927-365-5598, 02-523-7089 Email Address: crisostomo.ibarra@gmail.com Date of Birth: May 18, 1975 Place of Birth: Province of Laguna, Philippines Employer: Philippine National Bank, Sta. Rosa City Branch Employers Address: Blk 5 Lot 3B Sta. Rosa Estate, 2-A Balibago-Tagaytay Road, Bo. Sto. Domingo, 4026, Sta. Rosa City, Laguna Phone: (049) 508 1065 Occupation: Manager in Philippine National Bank
Notes:
Find Ms. Jane Dimagiba as witness
May file two suits:
Criminal Complaint
Administrative Complaint
FOR OFFICE USE ONLY
Initial And Date The Following Items When Completed: