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US 5C
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Address TIN

UNIVERSAL STOREFRONT SEBVICES CORPORATION Slall * 34 uP Shopplng Center
UP Diliman Ouezon CltY VAT Reg TIN 225-763-754'037

NON VAT Official Acknowtedgement Receipt

UPD
Date:
uu
Check #

ffi* ti; ; i* $i4

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Cneck - Bank

Received trom

Bus. Style the amount of
(

P

) for the following:

Total Payment: P

Signature Bklb {50x2) SN: UPIX)05001 - UPD420000 PemiiNo.: OCN 8Au0t]f,o127375 o2'o2-2o1o E PrioMaster :ongiiisional,{ve exm Miranila Homes Paong Tamo D2 Q C White Copy: CustomerYellow Capyt File

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