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(Tobe ed up by Bi OLN Republic of the Philippines Department of Finance Bureau of Internal Revenue @ Receipts and Invoices Application for Authority to Print BIR Form No 1906 January 2018 (ENCS) Filth al applicable wile spaces ‘appropriate bores wih an 1 Taxpayers Identification Number (TIN) ZATP APPLIED FOR 177 [-| 477 [-| 383 [+] , ] Head Otfice Branch Office SROO Code 0138 4 Registered Name (Last Name, Fst Name, Midst Name for indvidual{Regitored Name for Non navi) LUMKETEE, AILEENANG |) ) ) | 3 Trade/Business Name, Wappicabio |_ RX LABSIMIV HEALTH AND BEAUTY PRODUCTS TRADING | {Business Address (hteate appltabe corpo ad or brarch ofc ates) L111 132567. €, RIVE! RA ST., BRGY. MANRESA, QUEZON CITY 6A ZIP Code 7 Contact Number Bema Adgress ‘Accredited Printer’s Details 9 Printers TIN 10 Printer’s Accreditation Number 17,6 [=] 7,91 [2] 4,22 [> opera (041MP20190000000006 [12 Printer's Name (LastName, Fist Name, Mile Nam for indi) (Registered Name fr Nor-Indvival) | REMODO JAIME JR, SUAREZ / ACTUAL PRINTING SERVICES, FS Printers Business Address (nical apostle complete head av anch aca odeesa) 65,A. T, REYES ST, POBLACION, MANDALUYONG CITY Li Lo er AAP Code 1115 |5 0 Pia Contact Number HS Email Address 535-7132, actualprint@yahoo.co Details of Application for Receipts and invoices [16 Manner of Receipts/invoices x JBound [Loose Leat (Others [77 Description of Receipis and Invorees TTACHADDITONAL SHEETS IF NECESSARY) ‘A For Principal Receipts and Invoices re Be] ee SERALWO: Description oxetasoners|"© Pex | coteeren et arrow | aor 050 Joouboone| "sr SRT Eo SALES INVOICE an a 5] |(5|0 Z| ‘0001, 0250 eee = bit Lt Pesos feel B For Secondary Receipts and Invoices —_ ar Be ae SERALWOI Description xenon] Pex >| eaten arom | aoe o50 Jooxboone| sr STR Eo COLLECTION RECEIPT, Lt 5] | [5 [0 ‘0001 0250 eset fee bit Lt bit Lt Te Declaration lg una bp pay hath eatin haben mae on th vores and te stony nels arb se scare pst nb proven te nea a Rens Coan ar tren ae resin end ct ay eet Fare 9 Cera prossary ny matron rats dara Prany et 212 Re Ne, apa nev pues ‘Stamp of BIR Receiving Office ‘and Date of Receipt Date of Release of Author to Print "TAXPAYERIAUTHORIZED REPRESENTATIVE (Signtize over Printed Name} TilPosiion of Sgnatony mucorry "Note The BIR Data Pivacy Poly Ten to BIR wobalto (wan Bi GOV PAY ATTACHMENTS T Frral and let same of Principal and Supplementary Recoistliices. ad 1D Photocopy of tet esued ATP ox PCD rary book ra te latissued ATP tor subsequent appcabon Lr Permtto Use Loose Lea Ocal Rect or Sais Invoices [Ey Fal ara clear sample of Princpa and Supplementary Resetlinvoies and [ED Protacopy of et oued ATP or PCO, or any Boel tom th et ued [ATP for subsequent apleston. Cniy the hoas ofce sha fe tho “Appicaon for Auhory to Pint Recaps and incices(ATPY”One (1) appiaton shou be fed ad one (1) permit shou be lssed for overs eriabishment (head oes or enc raneh) The daa that shoul! appear inthe ATP athe data pertsining tthe eetabsehmert

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