DR OR SI - Transmittal Form

A-Z MARKET ENTERPRISE DEVELOPERS INC
Control No. 2018-002
DOCUMENT TRANSMITTAL
ITEM TRANSMITTED REF NO. Date Account Remarks
Yellow Copy DR 11983 1/10/2017 Botica De San Francisco payment purposes

Yellow Copy SI 4480 5/20/2017 Botica De San Francisco payment purposes
Photocopy SI 4466 5/21/2017 Botica De San Francisco payment purposes
Pink Copy DR 19855 1/10/2018 Botica De San Francisco payment purposes
Pink Copy DR 19854 Botica De San Francisco payment purposes
Photocopy DR 19085 11/2/2017 Botica De San Francisco payment purposes
Transmitted by: Transmited to :
Analie O.Ramirez
Credit and Collection In-Charge Signature over printed name
Date:
Blk 5, Lot 24, Hernandez Ave., Almanza Uno, Las Piñas City; Contact Number 02-7754882
e
DATE: 19-Mar-18
ITEM TRANSMITTED REF NO. DR Date Account Remarks
White Copy DR 20396 2/20/2018 Econo Pharmac Trading payment purposes
Analie O. Ramirez
Credit & Collection Officer Signature over printed name
Date:
e

Yellow Copy SI 4480 5/20/2017 Botica De San Francisco payment purposes
Photocopy SI 4466 5/21/2017 Botica De San Francisco payment purposes
Pink Copy DR 19855 1/10/2018 Botica De San Francisco payment purposes
Pink Copy DR 19854 Botica De San Francisco payment purposes
Analie O.Ramirez
Date:
e
Green Copy DR 04677 3/4/2017 BSV Drugstore payment purposes

Original Copy DR 13467 8/4/2017 BSV Drugstore payment purposes
Original Copy SI 7353 2/8/2018 BSV Drugstore payment purposes
Original Copy SI 7356 2/23/2018 BSV Drugstore payment purposes
Analie O.Ramirez
Date:
e
White Copy DR 14389 11/23/2017 Brixmed Pharma for Payment Purposes

White Copy DR 20752 3/14/2018 Brixmed Pharma for Payment Purposes
Analie O.Ramirez
Date:
e
Photocopy DR 16665 6/20/2017 Dr. Virgilio Ocampo for Payment Purposes

White copy DR 18652 10/12/2017 Dr. Virgilio Ocampo for Payment Purposes
Analie O.Ramirez
Date:
14.166667
e
Green Copy DR 16498 8/17/2017 Charvie Pharmacy for Payment Purposes

Green Copy SI 7462 1/30/2018 Charvie Pharmacy for Payment Purposes
Green Copy DR 4874 2/28/2018 Charvie Pharmacy for Payment Purposes
Narissa Macapagal
Credit and Collection Assistant Signature over printed name
Date:
14.166667
e
ITEM TRANSMITTED REF NO. Date Account PO Remarks
Original Copy SI 1098 8/30/2017 FMC Renalcare Corp - Bethany 62001121 Replacement of SI 0435
Yellow Copy SI 1825 1/9/2018 Mindanao Renal Care - Digos 630000551
Yellow Copy SI 0520 9/6/2017 Mindanao Renal Care - Digos 63000318
Yellow Copy SI 1823 1/11/2018 FMC Renalcare Corp - Makati 620001985
Original Copy SI 1254 3/14/2018 FMCRC- Capas 62002500 Replacement of SI 2667
CTC SI 8273 12/11/15 FMC Renalcare Corp - Makati 45464317
Analie O. Ramirez
Date:
Original Copy DR 2014 2/2/2018 Guico Olivarez Pharmacy

Original Copy DR 20374 2/2/2018 Guico Olivarez Pharmacy
Analie O. Ramirez
Date:
Original Copy SI 2301 3/12/2018 Rulyns Pharmacy for Collection Purposes
Analie O. Ramirez
Date:
Original Copy DR 16919 8/18/2017 Dr. Joegy Llanes for Collection Purposes
Analie O. Ramirez
Date:
Original Copy DR 13854 5/19/2017 Advance Orthopedics Clinic for Collection Purposes
Analie O. Ramirez
Date:
CTC DR 21850 5/16/2018 Ligopa Drugstore for Collection Purposes

Original Copy DR 22591 6/18/2018 Ligopa Drugstore for Collection Purposes
Analie O. Ramirez
Date:
Original Copy SI 23020 3/20/2018 Mona Pharmacy for Collection Purposes

*nothing follows*
Analie O. Ramirez
Date:
Control No. 2018-12-0001
ITEM TRANSMITTED REF NO. Date Account PO
Yellow Copy DR 11983 1/10/2017 Botika De San Francisco

Original Copy DR 13960 4/8/2017 Botika De San Francisco
Yellow Copy SI 4480 5/20/2017 Botika De San Francisco
Green Copy SI 4466 3/21/2017 Botika De San Francisco
Pink Copy DR 19853 1/10/2018 Botika De San Francisco
Yelllow Copy SI 1764 6/1/2018 Botika De San Francisco
Yelllow Copy SI 1770 7/5/2018 Botika De San Francisco
*nothing follows*
Transmitted by:
Narissa Macapagal
Remarks
for Collection Purposes

for Collection Purposes REC IN DR
Transmited to :
Signature over printed name

Date:
2-7754882
Control No. 2018-12-0001
Yellow Copy DR 11983 1/10/2017 Botika De San Francisco for Collection Purposes
Original Copy DR 13960 4/8/2017 Botika De San Francisco for Collection Purposes
Yellow Copy SI 4480 5/20/2017 Botika De San Francisco for Collection Purposes
Green Copy SI 4466 3/21/2017 Botika De San Francisco for Collection Purposes
Pink Copy DR 19853 1/10/2018 Botika De San Francisco for Collection Purposes
Yelllow Copy SI 1764 6/1/2018 Botika De San Francisco for Collection Purposes
Yelllow Copy SI 1770 7/5/2018 Botika De San Francisco for Collection Purposes
*nothing follows*
Narissa Macapagal
Date:
ame
Control No. 2019-06-0001
Original Copy SI 2745 10/10/2018 ERL PHARMA for Collection Purposes

Original Copy SI 2749 10/17/2018 ERL PHARMA for Collection Purposes
*nothing follows*
Narissa Macapagal
Date:
Control No. 2019-10-0001
Date: Oct. 14, 2019
Original Copy DR 13180 6/7/2017 Farmacia JVI for Collection Purposes

Green Copy DR 18273 1/11/2018 Farmacia JVI for Collection Purposes
Yellow Copy SI 2080 4/26/2018 Farmacia JVI for Collection Purposes
Transmitted by: Transmitted to :
Narissa Macapagal
Date:
Control No. 2019-10-0002
Date: Oct. 14, 2019
Original Copy DR 13184 6/21/2017 Farmacia Gomez for Collection Purposes

Yellow Copy DR 13174 5/16/2017 Farmacia Gomez for Collection Purposes
Transmitted by: Transmitted to :
Narissa Macapagal
Date:

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DR OR SI - Transmittal Form

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A-Z MARKET ENTERPRISE DEVELOPERS INC

Control No. 2018-002

Yellow Copy DR 11983 1/10/2017 Botica De San Francisco payment purposes

Transmitted by: Transmited to :

White Copy DR 20396 2/20/2018 Econo Pharmac Trading payment purposes

Transmitted by: Transmited to :

Yellow Copy DR 11983 1/10/2017 Botica De San Francisco payment purposes

Transmitted by: Transmited to :

Green Copy DR 04677 3/4/2017 BSV Drugstore payment purposes

Transmitted by: Transmited to :

White Copy DR 14389 11/23/2017 Brixmed Pharma for Payment Purposes

Transmitted by: Transmited to :

Photocopy DR 16665 6/20/2017 Dr. Virgilio Ocampo for Payment Purposes

Transmitted by: Transmited to :

Green Copy DR 16498 8/17/2017 Charvie Pharmacy for Payment Purposes

Transmitted by: Transmited to :

Transmitted by: Transmited to :

Original Copy DR 2014 2/2/2018 Guico Olivarez Pharmacy

Transmitted by: Transmited to :

Original Copy SI 2301 3/12/2018 Rulyns Pharmacy for Collection Purposes

Transmitted by: Transmited to :

Transmitted by: Transmited to :

Transmitted by: Transmited to :

CTC DR 21850 5/16/2018 Ligopa Drugstore for Collection Purposes

Transmitted by: Transmited to :

Original Copy SI 23020 3/20/2018 Mona Pharmacy for Collection Purposes

Transmitted by: Transmited to :

Yellow Copy DR 11983 1/10/2017 Botika De San Francisco

for Collection Purposes

Signature over printed name

Transmitted by: Transmited to :

Original Copy SI 2745 10/10/2018 ERL PHARMA for Collection Purposes

Transmitted by: Transmited to :

Original Copy DR 13180 6/7/2017 Farmacia JVI for Collection Purposes

Transmitted by: Transmitted to :

Original Copy DR 13184 6/21/2017 Farmacia Gomez for Collection Purposes

Transmitted by: Transmitted to :

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