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DEPARTMENT OF TRANSPORTAT| LAND TRANSPORTATION OFFI TOTAL AMOUNT PAID | HE SUN ae ee anc Fou iS 5 fe L Lang Transportatior CERTIFICATE OF EMISS! Joy Emission Festin % 14 Araneta Avenue: Republic of the Philippines Department of Transportation a n Office ION COMPLIANCE Center, ge cecno. 13273237-5 iooean City 2000013273237: M.V. OWNER GUZENT INC COMPLETE ADDRESS 1237 EDSA, QUEZON CITY 9656C5519D336H ne PLATE NO, WQT246 MV FILE NO. 1336000038415 ENGINE NO. 4DS6AAHS803 CHASSIS NO. PAELSSMYEDB016969 DATE/TIME TESTED Wednesday, July 8, 2020 ( 9:08 am) ORICR: -/-/(0) ae VEHIGEE DETAILS a "FUEL TYPE DIESEL R MODEL 2014 AKE/SERIES Mitsubishi (L300) IV TYPE Utility Vehicle COLOR WHITE CLASSIFICATION PRIVATE GIVEN THIS July 8, 2020 8:06 am VALID UNTIL, S@Ptember 06, 2020 PETC 17. PROVIDER ROMS, Inc. [ee TESTING RESULT eae SUMMARY co [a RESULT PASSED T STING BURPOSE FOR REGISTRATION Piate No. PhP_80.00_ INTERCONNECTIVITY FEE ‘MRISTEN 96Y 9 ROSA VAT Reg. TIN: 228525-0080598 Y EMISSION TESTING Peres ‘Brgy. 78, Caloooan Cay Sovpuls No 13701 COMMERCIAL VEHICLE POLICY GA-CV SerialNumber: 140219 ) Philippines First Insurance Co., Inc. eneceree A) ere eee om jopnone Now (532892 888 £16 C88) | Facsmi Nos. (692) 8 0607 /81¢ 0582 ‘Eval cusonersuppon@phifatesurancecomph TN 006-846.361 NAME AND ADDRESS OF INSURED POLICY NO. — :PF-CV-190219 GUZENT INC. coc NO. 77970735 1237 DSA, Quezon City DATE ISSUED :April 22, 2020 PERIOD OF INSURANCE FROM zJuly 1, 2020 12:00 NOON To iuly 1, 2021 32:00 NOON | wopeL O14 \L NO. -AEL3SMYEDBO1 6989 | MAKE ITS. L300 FB DELUXE BARE NO.” :4DBGRANSEOS TYEE OF BODY PLATE NO. :WQT-286 | coLoR POLAR WHITE ZNO. 153600000384285 COVERAGE sum tnsuReD Bate PREMIUMS SECTION COMPULSORY TPL. 100,000.00 487.03 PASSENGER LIABILITY SECTION ITT OWN DAMAGE THEE? EXCESS BODILY INJURY 00,000.90 $10.00 VIBL/PROPERTY DAMAGE 200,000.00 1, 320100 PERSONAL ACCIDENT 50/00/00 @1DANER arasseNceas OTHERS : TOTAL PREMEIM DOCUMENTARY STAMP: NAT OCAL GOV'T TAK SURVEY TOTAL AMOUNT DUE : : Vso TIME OF ISSUB : ACCESSORIES Aircon AUTHORIZED DRIVER’ ‘Any of he fotowing: (a) The insurea [} Any person criving on the insureds order o: with his permission. Provided that the person anvng is permited, in accorcance with the Icensing law oc other regulations, to deve the Scheduled Vehice, or has been permites ana is rt isquaifie by orcer of a Cour cf Law Dy reason of any enaciment or reguaton in that benalt, rowed that for Sections | an I Only of ths Paizy en autores arver sll neuce culy ieensee drver but whose lesnse st the ime of he seccent Nad expires LiMTATIONS AS TO Use P ene barren tse Bape senna Save butted boveages gassie rodecis anor elves Memmabe aces or mate = DELETE 2\Useforraong sevemaking relabity ral or NB Provage tat immiaions (1 sng (2) apove may be nersx namea mneren coveres 2 ss Poley upon agreement ay, ara payment of 20% ‘eational premium fo ne Camean (G3) Use for ne camage ot PASSENGERS {@) Use for any purpose mn connection with the Motor Trade Ren. & Repl. PF-CV-138865 SECTIONS | anc il is Policy cover THIRD PARTY labiiy asing sy injury enaior deat amounts sei fonh uncer the Senecule of ingemnites witness BNER# OF Prvipores First Insurance Comsatiy NR nas caused tmis Pobcy 10 08 APRS by its euy euinorzed offtBARpresertaive re een papr et ns oter IMPORTANT NOTICE PHILIPPINES FIRST INSURANCE COMPANY, INC, VSO INSURANCE CENTER IN OFFI No. 203467053 ones Rap of tm Prines PARTMENT OF TRANS! TEAND TRANSPORTATION OFFICE ast Avene, Quezon City Field Office Code: 124 |G 1840096904 pare, a ig Cobo \GirPNER RECON ISFRICT NATIONAL CAPITAL REGION Republic of the Philippines Department of Transportation Land Transporation Office CERTIFICATE OF EMISSION COMPLIANCE doy Emi ‘Center, 14 Nahela Geloosan City 3 © creno. 11510225-6 024 055 AO29AF36B9D892 MY. OWNER COMPLE? GUZENT INC DDRESS 1237 EDSA, QUEZON CITY: ES VEHICEE DETAILS Seas PLATE NO. AAP8403 eg EUELTYPE DIESEL MV FILE NO. 130100000165423 At: AEAR MODEL 2014 ENGINE NO, 4HG1221129A, “ean ae” MVAKE/SERIES Isuzu (NKRTRUCK) CHASSIS NO. PABNKR71ELE001993 SSRETES MV TYPE tility Vehicle DATE/TIME TESTEO Monday, March 16,2020( 8-42 am) COLOR . CLASSIFICATION pRIVATE ORIGR: -/-/(0) GIVEN THIS March 16,2020 9:42am VALID UNTIL May 15, 2020 PETC LT PROVIDER DMS, Inc. [TESTING RESULT emeee I = (SUMMARY 0.00) a SE 0.0 OF i RESULT PASSED UFESTING PURPOSE FOR REGISTRATION PhP_80.00 Y EMISSION TESTING CENTER INTERCONNECTIVITY FEE Neo 2882760 ——~.ll Receipt 14 Araneta Ave., Brgy. 79, Caloocan Cy KRISTEN JOY J, ROSCA. Prop. \VAT Rog, TIN: 224-523-699-000 ta Bi Neo an? va 7 RP) ilove Fintan Co, Ins co cy sewer 139861 7 5) mclonge Cer £768 Ayala verve, Maka City: Popes ‘Tewonne Nak (652/082 B60) B16 058" | Facaente Nos. (652) 8160603 8140582 ‘Emai_customersuppongonstates./once com Bh Tih oovasbe? NAME AND ADDRESS OF INSURED POLICY NO. :PF-CV~139861 GueNT, INC. Coc No, 1077770264 1237 BbSA, DATE ISSUED :February 6, 2020 Quezon city PERIOD OF INSURANCE FROM :April 1, 2020 x N TO April 1, 2021 32:00 NOON MODEL 22018 SERIAL NO. : PABNKR72£L8001993 MAKE ISUZU NKR EURO TI MOTOR NO.” :4HG1221129 ' TYPE OF BODY PLATE NO. :AAP-8403 \ color TAR WHITE FILE NO, :130100000165623 i COVERAGE SUM INSURED RATE PREMIUMS SECTION 1/11 COMPULSORY TPL 290,000.00 407.03 PASSENGER LIABILITY = SECTION ITT OWN _DAMAGE, THEPT. SECTION IV-A EXCESS BODILY INJURY : $0,000.00 2,750.00 IV-B VIPL/PROPERTY DAMAGE: 350,000.00 1,750.00 PERSONAL ACCIDENT 50/000.00 @/ORVER, 2HELRERS OTHERS 900.00 TOTAL PREMIUM DaoucTIans =: DOCUMENTAR! STAMP TOWING : SAT REPAIR LIMIT : LOCAL Gov'T TAX SURVEY FEE TOTAL AMOUNT DUE : AGENT CODE: VSG MORTGAGEE FORM AND ENDORSEMENTS MADE PART OF THIS POLICY AT TIME OF ISSUE : ACCESSORIES : Aircon = Stereo Nags AUTHORIZED DRIVER: Any ofthe folowng (a) Ths insured {) Any person arving on te insures order or wth nis permission Provides mat the person ahving is permite in accoreance wih the licensing ‘a o° cther regulavons, to drive the Schedui permines ane is not aisauaufee by oreer of 9 Cour of Law ot Dy teason any eraciment or reguiatan o that enat proviced hat for Sectors | ad!) nly cfs Paley an autnonzes ctver shall inclue duly heensea drver but whose icense atthe bme of the aendent Nas expired LIMITATIONS aS TO USE and pleassre ourpones, and forthe Insured's business or profession. This policy does not cover PELEFED oo ase Tumber sane, grave, boted beverages, gasoine crogucts andlor other Miammabieancles ar matenals bias (2) Use for racng. pacemaking. reiabity ial oF speed testing NB Proved nat imtations (1) an (2) above may be delete a Beas.ona. premuim to me Company 3) Use for Ine camage of PASSENGERS (2) Use for any purpose connection wth 1 Policy uoon agreement oy anc cayrert 32 2 Moto -Cv-138504 ing Pty cover THIRD PARTY labity aging tram Boclynury anglor deat ° amounts se enh under the Scnecule of ndemnitos RABAT Yay aunoraes Ob has ae Ren. @ Repl. SECTIONS | ane S HRLEBs pricpines First insurance Comoarh Ahk nas caus _S2798 5 my ve tes snow na Sean ates ano PHILIPPINES FIRST INSURANCE COMPANY INC. ergageay aoe VSO INSURANCE IMPORTANT NOTICE

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