GAUDENCIO DAYANGHIRANG 12/F Rufino Pacific 6784 Ayala Avenue, Makati City, 1226 Philippines

2505 CRISOLITA SAN ANDRES BARANGAY 106 MANILA CITY METRO MANILA 1012 VAT Reg. TIN 204-965-453-000

04 78

Statement of Account
Statement Date:Mar 05, 2021
Billing Period Covering: Feb 06, 2021 - Mar 05, 2021
BIR CAS Permit No. 1008-116-00007-CAS

PAY YOUR BILLS THROUGH:

Service Reference Number : 9399798798

Account Number : 0783555131
SOA Number : 0852193731

Balance from Previous Bill

Amount Due from Previous Bill 104.73
Less: Payments (Thank You - Official Receipt enclosed) -1,000.00

Remaining Balance from Previous Bill -895.27

Current Bill Charges

Pasaload Charges 298.56
Smart Bro Loyalty 799 (03/06/2021 - 04/05/2021) 713.39
VAT @ 12% 86.03

Total Current Bill Charges 1,097.98

PAYMENT DUE DATE: AMOUNT DUE:

-895.27
Mar 29, 2021 1,097.98
TOTAL AMOUNT DUE: 202.71

"
Please make checks payable to:
GAUDENCIO DAYANGHIRANG Smart Communications, Inc.,
2505 CRISOLITA SAN ANDRES BARANGAY 106 MANILA CITY METRO MANILA 1012
Indicate your Name and Account Number
at the back of the check.

ACCOUNT NUMBER SERVICE REFERENCE NUMBER SOA NUMBER PAYMENT DUE DATE: AMOUNT DUE:
-895.27
0783555131 9399798798 0852193731 Mar 29, 2021 1,097.98
TOTAL AMOUNT DUE: 202.71

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 OFFICIAL RECEIPT
SMART Communications, Inc. OR No. ADXOR000736991
ROB PLACE ERMITA WC OR Date 02/23/2021
Smart Tower, 6799 Ayala Avenue, Makati City
VAT Reg. TIN 001-901-673-000
Business Sytle: Telecommunications

POS Supplier's Name: SMART Communications, Inc. BIR Accreditation No. 116-001901673-000235
POS Supplier's Address: Smart Tower, 6799 Ayala Ave., Makati City Date Issued: 11/3/2010
POS Supplier's TIN: 001-901-673-000 MIN: Valid Until: 07/31/2020
PTU: BIR CAS PERMIT: 0313-116-00071-CAS 3/26/2013

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Statement of Account GAUDENCIO DAYANGHIRANG
Statement Date: Mar 05, 2021 Account No.:0783555131
Billing Period Covering: Feb 06, 2021 - Mar 05, 2021 Service Reference No.: 9399798798
SOA No.: 0852193731

Usage Details

Pasa Load Markup : 09399798798

4 3.56

Pasa Load P5.00 : 9399798798

Date Time B Number Amount
Mar 02, 2021 15:17:18 09605882968 5.00

Total 5.00

Pasa Load P30.00 : 9399798798

Date Time B Number Amount
Mar 02, 2021 15:22:00 09605882968 30.00

Total 30.00

Pasa Load P60.00 : 9399798798

Date Time B Number Amount
Mar 02, 2021 15:13:51 09605882968 60.00

Total 60.00

Pasaload - P200.00 : 9399798798

Date Time B Number Amount
Mar 02, 2021 15:09:53 09618191114 200.00

Total 200.00

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Page 4 of 4

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