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KIMMIE DANGA 12/F Rufino Pacific 6784 Ayala Avenue, Makati City, 1226 Philippines

STO. NINO BULUSAN BANGKAL TALOMO (POB.) DAVAO CITY DAVAO DEL SUR 8000 VAT Reg. TIN 204-965-453-000

09 1308 (FIRST BILL)

Statement of Account
Statement Date:Jul 11, 2019
Billing Period Covering: Jun 12, 2019 - Jul 11, 2019
BIR CAS Permit No. 1008-116-00007-CAS

Service Reference Number : 9399892940 - (LTS Community Stores, Inc) National Highway Across
Public Market, Calinan Davao City
Account Number : 0795407235 - (SM DAVAO SUPERMARKET) Quimpo Blvd.
SOA Number : 0693550247 Ecoland Subd., Brgy. Matina Davao City
- (CLH AGDAO) Lapu-lapu St.,Brgy.
Agdao Proper, 2nd District, Davao City, Davao del Sur
- (Davao ) Units A and B, G/F Veterans Building,
Monteverde St., Davao City, Davao del Sur
- (DAMOSA GATEWAY MALL) Damosa Gateway
Balance from Previous Bill Commercial Complex, Corner J.P. Laurel Ave. and Mamay Road
Lanang, Davao City
Amount Due from Previous Bill 0.00
Less: Payments (Thank You - Official Receipt enclosed) -499.00

Remaining Balance from Previous Bill -499.00

Current Bill Charges


Less: Chain Store Discount -326.73
Smart Bro Plan 499 (06/28/2019 - 07/11/2019) 207.92
Smart Bro Plan 499 (07/12/2019 - 08/11/2019) 445.54
VAT @ 12% 39.21

Total Current Bill Charges 365.94

PAYMENT DUE DATE: AMOUNT DUE:


-499.00
Aug 04, 2019 365.94
TOTAL AMOUNT DUE: -133.06

"
Please make checks payable to:
KIMMIE DANGA Smart Communications, Inc.,
STO. NINO BULUSAN BANGKAL TALOMO (POB.) DAVAO CITY DAVAO DEL SUR
Indicate your Name and Account Number
8000
at the back of the check.

ACCOUNT NUMBER SERVICE REFERENCE NUMBER SOA NUMBER PAYMENT DUE DATE: AMOUNT DUE:
-499.00
0795407235 9399892940 0693550247 Aug 04, 2019 365.94
TOTAL AMOUNT DUE: -133.06

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OFFICIAL RECEIPT
SMART Communications, Inc. OR No. SBEOR015269189
SMART CBG OR Date 07/04/2019
Smart Tower, 6799 Ayala Avenue, Makati City
VAT Reg. TIN 001-901-673-000
Business Sytle: Telecommunications

POS Supplier's Name: SMART Communications, Inc. BIR Accreditation No. 116-001901673-000235
POS Supplier's Address: Smart Tower, 6799 Ayala Ave., Makati City Date Issued: 11/3/2010
POS Supplier's TIN: 001-901-673-000 MIN: Valid Until: 07/31/2020
PTU: BIR CAS PERMIT: 0313-116-00071-CAS 3/26/2013

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