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  • Melo Medical Group, Inc.: in Settlement of The Following

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    Melo Medical Group issued an official receipt to Miss X for 50,000 pesos in partial/full payment for medical services. The receipt details that the price inclusive of excise tax before VAT was 44,642.86 pesos and the 12% VAT amount was 5,357.14 pesos, totaling 50,000 pesos collected. The receipt was issued on January 1, 2018 by cashier Juana Dela Cruz.

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    Annex C_RR 2-2019

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    Melo Medical Group issued an official receipt to Miss X for 50,000 pesos in partial/full payment for medical services. The receipt details that the price inclusive of excise tax before VAT was 44,642.86 pesos and the 12% VAT amount was 5,357.14 pesos, totaling 50,000 pesos collected. The receipt was issued on January 1, 2018 by cashier Juana Dela Cruz.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    8 views1 page

    Melo Medical Group, Inc.: in Settlement of The Following

    Uploaded by

    imgodsblessing
    Melo Medical Group issued an official receipt to Miss X for 50,000 pesos in partial/full payment for medical services. The receipt details that the price inclusive of excise tax before VAT was 44,642.86 pesos and the 12% VAT amount was 5,357.14 pesos, totaling 50,000 pesos collected. The receipt was issued on January 1, 2018 by cashier Juana Dela Cruz.

    Copyright:

    © All Rights Reserved
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    Melo Medical Group, Inc. "ANNEX C"


    Rm. 000 St. Luke's Hospital, E. Rodriguez Sr., Q.C.
    VAT Reg. TI: 255-424-024-000

    OFFICIAL RECEIPT
    In Settlement of the following: DATE January 1, 2018
    Amount
    Received from Miss X with TIN 12304560789
    and address at Quezon City the sum of Fifty Thousand
    Price (Inclusive of excise tax before 12% VAT) ₱ 44,642.86 Pesos (Php 50,000.00) in partial/full payment for
    Add: 12% VAT 5,357.14 services performed.
    Total Amount Collected ₱ 50,000.00
    By: Juana Dela Cruz
    Cashier/Authorized Representative

    Form of payment No. 1001


    10 Bklts (3x) 1001-1500
    BIR Authority tp Print No. 3AU000805222
    Date Issued 07-30-13: Valid until 7-29-2018 Printer's Accreditation No. PO8051200
    BERTHA PRINTING SERVICES, INC. Date Issued 08-01-12
    Brgy. 789, Quezon City
    TIN: 123-456-789-0000 "THIS DOCUMENT IS VALID FOR CLAIM OF INPUT TAXES"
    THIS OFFICIAL RECEIPT SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP

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