Professional Documents
Culture Documents
__________________, of legal age, Filipino citizen, single and with residence and
postal address at ______________________________, hereinafter referred to as the
COLLECTOR/MESSENGE;
-and-
Payment Breakdown
Total Approved Budget : P71,700.
Total Amount of Desired Unit : P 71,700
Charge to be incurred by employee: NONE
Approved by:
GEORGE RASALAN
Sr Finance Manager
This is to certify that I have read and understood the abovementioned terms and conditions
for the Motorcycle Plan Policy, and acknowledged my responsibility as the co-owner of the
motorcycle unit. I hereby affix my signature as acceptance to the policy andto authorizes the
company to deduct the amount of THIRTY FIVE THOUSAND EIGHT HUNDRED FIFTY
PERSOS as my share of payment.
_______________________________ __________________________
SIGNATURE OVER PRINTED NAME DATE