KP Form No. 9 Page 2
KP Form No. 9 Page 2
KP Form No. 9 Page 2
9
Page 2
Republic of the Philippines
Province of Camarines Sur
Municipality of Lupi
Barangay _____________________
OFFICERS RETURN
I served this summons upon respondent ___________________ on the _______ day of
________, 20______, and upon respondent ______________ on the _________ day of
________________, 20_____, by: ( Write name/s of respondent/s before mode by which he/they
was/were served.)
Respondent/s
________________
1.
________________
2.
________________
3.
________________
4.
____________________
Officer
Received by Respondent/s/representative/s:
_______________________
(Signature)
___________________________
(Date)
_______________________
(Signature)
___________________________
(Date)