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Triple C Consumers Goods Trading

Sta Filomena San Mariano,Isabela


Tin No:265-237-573-000

To: Universal Leaf Philippines, Inc.


Nappaccu Pequeño, Reina Mercedes

Billing for Tobacco Transfer

Green Transfer

LOADING UNLOADING APPROVED


DATE TO/HAC# STATION STATION DRIVER PLATE NO TRUCK TYPE LOADED KILOS RATES SALES TOTAL SALES LESS W/TAX AMOUNT DUE
6/1/2020 00271-20-AI Alicia San Jacinto Jojo Lasam RHG 246 Ten Wheeler 11,356.10 22,010.00 22,010.00 22,010.00 440.20 21,569.80
6/4/2020 00313-20-AI Alicia San Jacinto Jojo Lasam RHG 246 Ten Wheeler 12,497.60 22,010.00 22,010.00 22,010.00 440.20 21,569.80
6/11/2020 00384-20-AI Alicia San Jacinto Jojo Lasam RHG 246 Ten Wheeler 12,222.50 22,010.00 22,010.00 22,010.00 440.20 21,569.80

Total 66,030.00 66,030.00 1,320.60 64,709.40

Prepared by: Stephen karl Lora Receieved by:


Printed Name and Signature ULPI Representative

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