Republic of the Philippines

REGIONAL TRIAL COURT OF NEGROS ORIENTAL

7th Judicial Region
Negros Oriental
RPT/SDC/METC/MTCC/SCC

LEGAL FEES FORM

Special Proceeding O. 2014-5169

Received this 5th day of November ,2018 the following payments:

1.General Fund

a.Clerk of General Court Fund Php 300 O.R NO. 2345

b. Sherrifs General fund Php 200 O.R NO. 23456

2.Judiciary Development Fund Php 100 O.R NO. 23457

3.Summons Fee Php 300 O.R NO. 2367

4. Sherrifs Trust Fund Php 50 O.R NO. 234564

5.Legal Research Fund Fee Php 100 O.R NO. 2357

6.Land Registration Fee Php___ O.R NO.

7.Mediation Fee Php___ O.R NO.

8.Victims Compensation Fee Php___ O.R NO.

Total Php 1,050

Paid By

Atty.Cristine Joy Jagodilla

Received by :

Jacklyn Dee