###

REPUBLIKA NG PILIPINAS TAX RETURNS / P

KAWARAN NG PANANALAPI RCO / DMT BATCH
KAWANIHAN NG RENTAS INTERNAS

COLL. OFF. TYPE - CODE RCO CODE-000962 COLL OFFICER Leonila P. Raut

MUNICIPALITY 00042 DATE OF COLLECTION 4.15.11 BCS NO.

CASH / CHECK PAYMENT

C ROR CHECK
TAXPAYER NUMBER CASH AMOUNT DRAWEE NO.
(P) BANK
1 Migrino , Salud 130-086-414 03499311 250.00
2 Oncog , Isnardo 196-284-323 03499312 5,640.15
3 Estapia , James 928-847-994 03499313 1,064.38
4 Estapia , James 928-847-994 03499314 1,752.19
5 Bentig Fishrmen Multi-Purpose Cooperative 259-739-305 03499315 10,350.00
6 Magtuba , Roquesa 261-448-898 03499316 311.22
7 Tian Su N Sons Lending Corporation 271-624-947 03499317 838.50
8 Osabel , Gerardo Sr. 164-202-963 03499318 360.90
9 Calibo , Geralyn 235-578-795 03499319 5,000.00
10 Bohol Farmers Multi-Purpose Cooperative 005-774-102 03499320 17,330.77
11 Bonhayag , Olympia 135-196-616 03499321 5,000.00
12 Wong , Felixchan 918-976-644 03499322 1,409.20
13 Wong , Felixchan 918-976-644 03499323 719.25
14 Gaviola , Bryan 939-833-307 03499324 5,250.00
15 Aumentado , Erico 255-627-471 03499325 9,600.00
16 Hoyle , Eusebio 200-618-723 03499326 1,400.00
17 Pandambata Multi-Purpose Cooperative 268-794-885 03499327 12,807.13
18 Tagbuane Coconut Farmers Multi-Purpose Cooperative 005-587-137 03499328 95.79
19 Sabijon , Dodelon 174-308-740 03499329 7,404.00
20 Great Inertia Center for Review and Training Inc. 282-706-740 03499330 6,185.40
21 Sabijon and Associates Law Office 282-704-763 03499331 12,760.00
22 Darussalam Bohol Multi-Purpose Cooperative 275-920-063 03499332 5,000.00
23 Ugdoracion , Jet Jose 157-183-736 03499333 435.00
24 Ugdoracion , Jet Jose 157-183-736 03499334 1,699.50
25 Bohol Public School Teachers & Employees MPC 000-534-000 03499335 2,691,986.91
2,804,650.29

Depository Bank LBP Date Deposited

Amount Deposited Deposit Slip No.

CERTIFIED CORRECT:

LEONILA P. RAUT
SIGNATURE OVER PRINTED NAME
 TAX RETURNS / PAYMENT FORMS BIR Form No.
RCO / DMT BATCH CONTROL SHEET (A) 2850
Revised August 2000

RR NO. 13 RDO NO. 84

A00273 DATE PREP 4.28.11

NON - CASH PAYMENT

AGENCY CREDIT MEMO T D M TOTAL BIR
AMOUNT NO. AMOUNT NO. AMOUNT AMOUNT PAID FORM
(P) (P) (P) (P)
250.00 1701
5,640.15 1701
1,064.38 1701
1,752.19 1701Q
10,350.00 1702
311.22 1701Q
838.50 1702
360.90 1701
5,000.00 1700
17,330.77 1702
5,000.00 1700
1,409.20 1701
719.25 1701Q
5,250.00 1701
9,600.00 1701
1,400.00 1700
12,807.13 1702
95.79 1702
7,404.00 1701
6,185.40 1702
12,760.00 1702
5,000.00 1702
435.00 2000
1,699.50 1706
2,691,986.91 1702
2,804,650.29

Date Deposited
Deposit Slip No.

LA P. RAUT REV. OFFICER I

E OVER PRINTED NAME DESIGNATION
 ###
REPUBLIKA NG PILIPINAS TAX RETURNS / P
KAWARAN NG PANANALAPI RCO / DMT BATCH
KAWANIHAN NG RENTAS INTERNAS

COLL. OFF. TYPE - CODE RCO CODE-000962 COLL OFFICER Leonila P. Raut

MUNICIPALITY 00042 DATE OF COLLECTION 4.15.11 BCS NO.

CASH / CHECK PAYMENT

C ROR CHECK
TAXPAYER NUMBER CASH AMOUNT DRAWEE NO.
(P) BANK
1 Madera , Felipe 146-171-373 03499361 750.00
2 Mangaron , Miguelita 914-928-658 03499362 260.00
3 Dadz Finesse & Skills Institute Inc. 282-673-239 03499363 1,162.27
4 Ayeng , Maria Thelma 918-972-350 03499364 250.00
5 Remoreras , Eulogio 115-136-587 03499365 640.50
6 Lumuthang , Rodney 159-741-924 03499366 1,092.00
7 Lumuthang , Rodney 159-741-924 03499367 1,145.00
8 Lumuthang , Rodney 159-741-924 03499368 12,606.00
9 Anedes , Gertrudes 135-208-078 03499369 3,300.00
10 Senior San Isidro Labrador Multi-Purpose Cooperative 005-372-631 03499370 10,282.00
11 Antopina , Antonette 941-041-101 03499371 149.29
12 Rayner , Rebecca 918-976-791 03499372 814.00
13 Bolotaolo , Florencio Jr. 186-758-660 03499373 250.00
14 Boncavil , Jaime 135-571-994 03499374 250.00
15 Maniwang , Gilda 146-909-675 03499375 540.00
16 Pancha , Hermes 129-330-296 03499376 250.00
17 Casenas , Jose Ma. Hermes 272-659-037 03499377 3,810.14
18 Visarra , Nicanor 941-041-328 03499378 1,500.00
19 Abucay , Victor 915-954-032 03499379 1,270.00
20 Casenas , Jose Mari 154-509-636 03499380 1,300.00
21 Tan , Philip 106-062-029 03499381 1,103.20
22 Visarra , Nicanor 941-041-328 03499382 1,500.00
23 Abucay , Victor 915-954-032 03499383 500.00
24 Bautista , Ben Sherwin 293-768-807 03499384 500.00
25 Casenas , Jose Mari Hermes 272-659-037 03499385 4,725.37
49,949.77

Depository Bank LBP Date Deposited

Amount Deposited Deposit Slip No.

CERTIFIED CORRECT:

LEONILA P. RAUT
SIGNATURE OVER PRINTED NAME
 TAX RETURNS / PAYMENT FORMS BIR Form No.
RCO / DMT BATCH CONTROL SHEET (A) 2850
Revised August 2000

RR NO. 13 RDO NO. 84

A00275 DATE PREP 4.28.11

NON - CASH PAYMENT

AGENCY CREDIT MEMO T D M TOTAL BIR
AMOUNT NO. AMOUNT NO. AMOUNT AMOUNT PAID FORM
(P) (P) (P) (P)
750.00 1701Q
260.00 1701Q
1,162.27 1702
250.00 1701
640.50 1701
1,092.00 1701Q
1,145.00 2551M
12,606.00 1701
3,300.00 1700
10,282.00 1702
149.29 1701Q
814.00 1701
250.00 1701
250.00 1701
540.00 1701
250.00 1701
3,810.14 1701Q
1,500.00 1701Q
1,270.00 1701
1,300.00 1701Q
1,103.20 1701Q
1,500.00 1701
500.00 1701Q
500.00 1701
4,725.37 1701
49,949.77

Date Deposited
Deposit Slip No.

LA P. RAUT REV. OFFICER I

E OVER PRINTED NAME DESIGNATION
 ###
REPUBLIKA NG PILIPINAS TAX RETURNS / P
KAWARAN NG PANANALAPI RCO / DMT BATCH
KAWANIHAN NG RENTAS INTERNAS

COLL. OFF. TYPE - CODE RCO CODE-000962 COLL OFFICER Leonila P. Raut

MUNICIPALITY 00042 DATE OF COLLECTION 4.15.11 BCS NO.

CASH / CHECK PAYMENT

C ROR CHECK
TAXPAYER NUMBER CASH AMOUNT DRAWEE NO.
(P) BANK
1 Bolos , Kimberly Rose 289-307-695 03501511 500.00
2 Soquillo , Pio 148-539-802 03501512 250.00
3 Rosauro , Patricio 163-591-178 03501513 825.50
4 Pandan , Nelson Jose 941-031-117 03501514 719.40
5 Soquillo , Pio 148-539-802 03501515 550.00
6 Olaivar , Daylinda 262-062-376 03501516 476.19
7 Tagbilaran Able Enterprises Company 004-281-613 03501517 8,262.00
8 Navarro , Arturo 168-308-291-004 03501518 8,875.00
9 Navarro , Arturo 168-308-291 03501519 8,650.00
10 King David Security and Investigation Agency Inc. 005-369-418 03501520 8,095.00
11 Baguio , Narcissa 147-081-292 03501521 7,500.00
12 Ente , Julius 939-855-160 03501522 470.00
13 Patindol , Liliosa 135-178-069 03501523 375.50
14 Rebayla , Rosana 107-614-676 03501524 1,300.00
15 Dao Multi-Purpose Cooperative 03501525 8,154.98
16 Asa , Raymundo 168-307-231 03501526 446.30
17 Castaneda , Amparo 118-677-619 03501527 250.00
18 Jeverola , Ruperto 918-086-846 03501528 250.00
19 Castaneda , Amparo 118-677-619 03501529 200.00
20 Guimal , Mary Ann 282-835-808 03501530 250.00
21 Paredes , Yolanda 908-821-253 03501531 156.79
22 Borja Family Hospital Employees Multi-Purpose Coop. 258-988-141 03501532 9,447.91
23 Molina , Nicolas 106-057-459 03501533 2,380.06
24 Molina , Nicholson 257-114-774 03501534 623.50
25 Alabat , Emma 134-679-286 03501535 2,000.00
71,008.13

Depository Bank LBP Date Deposited

Amount Deposited Deposit Slip No.

CERTIFIED CORRECT:

LEONILA P. RAUT
SIGNATURE OVER PRINTED NAME
 TAX RETURNS / PAYMENT FORMS BIR Form No.
RCO / DMT BATCH CONTROL SHEET (A) 2850
Revised August 2000

RR NO. 13 RDO NO. 84

A00277 DATE PREP 4.28.11

NON - CASH PAYMENT

AGENCY CREDIT MEMO T D M TOTAL BIR
AMOUNT NO. AMOUNT NO. AMOUNT AMOUNT PAID FORM
(P) (P) (P) (P)
500.00 1701
250.00 1701
825.50 1701Q
719.40 1701Q
550.00 1701Q
476.19 1701
8,262.00 1702
8,875.00 1701
8,650.00 1701
8,095.00 1702
7,500.00 1700
470.00 1701
375.50 1701Q
1,300.00 1701Q
8,154.98 1702
446.30 1701Q
250.00 1701Q
250.00 1701Q
200.00 1701
250.00 1701Q
156.79 1701
9,447.91 1702
2,380.06 1701
623.50 1701Q
2,000.00 1701
71,008.13

Date Deposited
Deposit Slip No.

LA P. RAUT REV. OFFICER I

E OVER PRINTED NAME DESIGNATION
 ###
REPUBLIKA NG PILIPINAS TAX RETURNS / P
KAWARAN NG PANANALAPI RCO / DMT BATCH
KAWANIHAN NG RENTAS INTERNAS

COLL. OFF. TYPE - CODE RCO CODE-000962 COLL OFFICER Leonila P. Raut

MUNICIPALITY 00042 DATE OF COLLECTION 4.15.11 BCS NO.

CASH / CHECK PAYMENT

C ROR CHECK
TAXPAYER NUMBER CASH AMOUNT DRAWEE NO.
(P) BANK
1 Du , Evelyn 931-408-117 03501561 400.00
2 Tutor , Christopher 918-980-301 03501562 3,980.00
3 Ligan , Melody 915-950-341 03501563 150.00
4 Yap , Clifton 102-296-065 03501564 2,150.00
5 Villanueva , Roberto 126-364-916 03501565 4,700.00
6 Ridgway , Jaime 937-989-420 03501566 1,425.90
7 Ridgway , Jaime 937-989-420 03501567 440.79
8 Sun Asia Express Lending, Inc. 007-237-878 03501568 3,962.61
9 Yap , Venerando 147-224-564 03501569 16,992.53
10 Veloso , Michael 119-268-999 03501570 500.00
11 Gonzales , Carolina 191-728-713 03501571 2,715.69
12 Magpayo , Alejandro 106-056-555 03501572 7,918.30
13 Abelides , Levi 179-155-555 03501573 1,735.10
14 Diccion , John 180-442-313 03501574 3,734.75
15 Lobo , Cornelio 175-116-286 03501575 1,219.25
16 Cadar , Baguinda 924-148-273 03501576 2,195.40
17 Pelletero , Arlyn 270-076-689 03501577 862.90
18 Bulaybulay , Ivy 904-252-672 03501578 492.80
19 Ballares , Amelita 134-832-102 03501579 5,640.25
20 Losdoc , Avita 931-400-861 03501580 500.00
21 Sombrio , James 918-977-765 03501581 15,478.89
22 Angalot , Prisca 132-258-266 03501582 502.10
23 ACDL Health Wellness, Inc. 005-887-863 03501583 550.85
24 ACDL Health Wellness, Inc. 005-887-863 03501584 402.15
25 Bongalos , Anita 180-443-227 03501585 501.00
79,151.26

Depository Bank LBP Date Deposited

Amount Deposited Deposit Slip No.

CERTIFIED CORRECT:

LEONILA P. RAUT
SIGNATURE OVER PRINTED NAME
 TAX RETURNS / PAYMENT FORMS BIR Form No.
RCO / DMT BATCH CONTROL SHEET (A) 2850
Revised August 2000

RR NO. 13 RDO NO. 84

A00279 DATE PREP 4.28.11

NON - CASH PAYMENT

AGENCY CREDIT MEMO T D M TOTAL BIR
AMOUNT NO. AMOUNT NO. AMOUNT AMOUNT PAID FORM
(P) (P) (P) (P)
400.00 1701Q
3,980.00 1701Q
150.00 1701Q
2,150.00 1701Q
4,700.00 1701Q
1,425.90 1701
440.79 1701Q
3,962.61 1702
16,992.53 1701
500.00 1701Q
2,715.69 1701
7,918.30 1701
1,735.10 1701
3,734.75 1701
1,219.25 1701
2,195.40 1701
862.90 1701
492.80 1701
5,640.25 1701
500.00 1701
15,478.89 1701
502.10 1701
550.85 1702
402.15 1702Q
501.00 1701
79,151.26

Date Deposited
Deposit Slip No.

LA P. RAUT REV. OFFICER I

E OVER PRINTED NAME DESIGNATION
 ###
REPUBLIKA NG PILIPINAS TAX RETURNS / P
KAWARAN NG PANANALAPI RCO / DMT BATCH
KAWANIHAN NG RENTAS INTERNAS

COLL. OFF. TYPE - CODE RCO CODE-000962 COLL OFFICER Leonila P. Raut

MUNICIPALITY 00042 DATE OF COLLECTION 4.15.11 BCS NO.

CASH / CHECK PAYMENT

C ROR CHECK
TAXPAYER NUMBER CASH AMOUNT DRAWEE NO.
(P) BANK
1 The Gabriella Bed and Breakfast 931-400-861 03501611 274.50
2 Kaupa , Gina 928-842-406 03501612 236.53
3 Ingking , Maria 146-171-036 03501613 220.85
4 Ligores , Ma. Imelda 134-774-681 03501614 194.25
5 Clavano , Rainilda 137-684-377 03501615 118.05
6 Kaupa , Gina 928-842-406 03501616 501.60
7 Ingking , Maria 146-171-036 03501617 445.05
8 Ligores , Ma. Imelda 134-774-681 03501618 410.00
9 Clavano , Rainilda 137-684-377 03501619 411.95
10 Pilotos , Simplicio 146-170-557 03501620 1,446.30
11 Philippine Fun Divers Inc. 258-346-177 03501621 12,190.40
12 Amigo , Rico 928-841-108 03501622 900.00
13 Cosino , Nelson 158-587-415 03501623 238.40
14 Toston , Ritzi 401-670-373 03501624 372.50
15 Cacho , Jorge 900-496-627 03501625 1,385.30
16 St. Martha Development 006-238-312 03501626 8,944.00
17 Nazareno , Remegia 132-255-569 03501627 396.84
18 Yu , Jose Oliver 118-674-385 03501628 2,767.88
19 Lim , Maria Corazon 905-810-044 03501629 1,769.43
20 Gesim , Teomaria 908-385-443 03501630 923.17
21 Gesim , Teomaria 908-385-443 03501631 1,745.37
22 JPES Cigarette Distribution and Sales 278-669-127 03501632 1,366.52
23 Torreon , Ofelia 135-204-643 03501633 3,000.00
24 Camalo Italian Kitchen Inc. 289-803-270 03501634 1,000.00
25 Seroje , Fernando 145-643-400 03501635 800.00
42,058.89

Depository Bank LBP Date Deposited

Amount Deposited Deposit Slip No.

CERTIFIED CORRECT:

LEONILA P. RAUT
SIGNATURE OVER PRINTED NAME
 TAX RETURNS / PAYMENT FORMS BIR Form No.
RCO / DMT BATCH CONTROL SHEET (A) 2850
Revised August 2000

RR NO. 13 RDO NO. 84

A00281 DATE PREP 4.28.11

NON - CASH PAYMENT

AGENCY CREDIT MEMO T D M TOTAL BIR
AMOUNT NO. AMOUNT NO. AMOUNT AMOUNT PAID FORM
(P) (P) (P) (P)
274.50 1701Q
236.53 1701Q
220.85 1701Q
194.25 1701Q
118.05 1701Q
501.60 1701
445.05 1701
410.00 1701
411.95 1701
1,446.30 1701
12,190.40 1702
900.00 1701Q
238.40 1701Q
372.50 1701Q
1,385.30 1701
8,944.00
396.84 1701
2,767.88 1701Q
1,769.43 1701Q
923.17 1701Q
1,745.37 1701
1,366.52 1701
3,000.00 1700
1,000.00 1702
800.00 1701Q
42,058.89

Date Deposited
Deposit Slip No.

LA P. RAUT REV. OFFICER I

E OVER PRINTED NAME DESIGNATION
 ###
REPUBLIKA NG PILIPINAS TAX RETURNS / P
KAWARAN NG PANANALAPI RCO / DMT BATCH
KAWANIHAN NG RENTAS INTERNAS

COLL. OFF. TYPE - CODE RCO CODE-000962 COLL OFFICER Leonila P. Raut

MUNICIPALITY 00042 DATE OF COLLECTION 4.15.11 BCS NO.

CASH / CHECK PAYMENT

C ROR CHECK
TAXPAYER NUMBER CASH AMOUNT DRAWEE NO.
(P) BANK
1 Remedios , Pascual 259-970-299 03501662 15,000.00
2 Salaguste , Divina 232-745-217 03501663 3,750.00
3 Epe , Edgardo 191-727-489 03501664 655.00
4 Lumactud , Efren 145-643-073 03501665 32,527.63
5 Dolojol , Ulysses 918-976-996 03501667 5,540.70
6 Stuhldreher , Ma. Gina 168-307-215 03501668 1,423.25
7 Stuhldreher , Ma. Gina 168-307-215 03501669 678.73
8 Dango , Rolando 133-541-954 03501670 356.14
9 FCRB Employees Multi-Purpose Cooperative 001-943-992 03501671 98,760.00
10 Rabe , Hipolita 145-380-868 03501672 2,078.50
11 Alburadora , Milagros 107-181-808 03501673 250.00
12 Yape , Joie 200-811-678 03501674 362.15
13 Sague , Marcelo 914-940-998 03501675 227.50
14 Urbina , Heintze 918-974-072 03501676 2,705.55
15 Uy , Melinda 180-441-715 03501677 2,791.30
16 Yape , Joie 200-811-678 03501678 321.80
17 Iyog , Ian 924-141-268 03501679 214.50
18 Darunday , Librada 180-439-744 03501680 258.53
19 Uy , Raymundo 939-856-494 03501681 377.64
20 Besas , Gian Carlo 251-475-278 03501682 24,283.06
21 Besas , Gian Carlo 251-475-278 03501683 1,510.27
22 Besas , Nicolai Janssene 924-141-660 03501684 250.00
23 St. Martha Development Center Corporation 006-238-312 03501685 6,480.00
24 Sumampong , Ponciano 910-818-851 03501686 800.00
25 Bohol Associaton of Women in , 005-884-625 03501687 190,005.35
391,607.60

Depository Bank LBP Date Deposited

Amount Deposited Deposit Slip No.

O.R. No. 3501666 (Out of District) CERTIFIED CORRECT:

367.89
LEONILA P. RAUT
SIGNATURE OVER PRINTED NAME
 TAX RETURNS / PAYMENT FORMS BIR Form No.
RCO / DMT BATCH CONTROL SHEET (A) 2850
Revised August 2000

RR NO. 13 RDO NO. 84

A00283 DATE PREP 4.28.11

NON - CASH PAYMENT

AGENCY CREDIT MEMO T D M TOTAL BIR
AMOUNT NO. AMOUNT NO. AMOUNT AMOUNT PAID FORM
(P) (P) (P) (P)
15,000.00 1706
3,750.00 2000
655.00 1701Q
32,527.63 1701
5,540.70 1701
1,423.25 1701
678.73 1701Q
356.14 1701Q
98,760.00 1702
2,078.50 1701
250.00 1701
362.15 1701
227.50 1701
2,705.55 1701
2,791.30 1701
321.80 1701Q
214.50 1701
258.53 1701
377.64 1701
24,283.06 1701
1,510.27 1701Q
250.00 1701
6,480.00 1702
800.00 1701Q
190,005.35 1702
391,607.60

Date Deposited
Deposit Slip No.

LA P. RAUT REV. OFFICER I

E OVER PRINTED NAME DESIGNATION