Request to Accept Payment

RAP No.: sequence no. Date Issued:

Issued By: AMMEE ZAPANTA Time Issued: time printed

Cavite

To: OUR PAYMENT FACILITY PARTNER

Please accept payment of:
Account Name: NIÑA ANGELA CATE Contract Account No.: 68116801

Payment/s for:
Water Bills.............................................................................Php enter amount

Miscellaneous
- Reopening Fee..................................................Php enter amount Partial

- Installation Charge.............................................Php 9,687.81

- Meter Charge.....................................................Php enter amount Partial

- Restoration Charge...........................................Php 2,905.94

- Guarantee Deposit............................................Php 500.00

Total Amount to be Paid....................................................Php 13,093.75

Note: Acceptance of the above-mentioned amount/payment is only until . After the

said date, kindly call our 1626 hotline for Metro Manila customers and 1-800-1000-WATER (92837) for
Cavite customers or visit our Business Areas for the updated bill amount.

Maynilad Customer Reminders (Mga Paalala)

Maynilad Business Area offices can no longer accept payments for water billings and
miscellaneous charges. These fees must be paid at any of our authorized payment facilities.

Ang mga Business Area office ng Maynilad ay hindi na maaaring tumanggap ng bayad sa tubig at
miscellaneous charges. Dapat bayaran ang mga singil na ito sa aming mga authorized payment facilities.

Before we can process your request, you must go to the nearest authorized payment facility,
present this form, and pay the total amount indicated above. The payment facility will issue you a
payment slip as proof of your transaction.

Bago namin isagawa ang inyong request, kailangang pumunta kayo sa pinakamalapit na authorized
payment facility, ipakita ang form na ito, at bayaran ang kabuoang singil na nakasulat sa itaas. Bibigyan
kayo ng payment facility ng isang payment slip bilang patunay ng inyong binayaran.

Your request cannot be processed until full payment of all fees indicated above are paid. Upon full
payment of the required fees, you must call Maynilad Hotline1626 for Metro Manila customers and
1-800-1000-WATER (92837) for Cavite customers, so we can process your account’s reconnection.

Upang maisakatuparan ang inyong hiling, kailangang mabayaran ang mga bayarin na nakatala sa taas.
Kapag nabayaran na ang mga ito, tumawag sa Maynilad Hotline 1626 para sa Metro Manila customers at
1-800-1000-WATER (92837) para sa Cavite customers, upang maproseso ang reconnection ng inyong
serbisyo.
You must present the payment slip from the authorized payment facility to the Maynilad
personnel/contractor who will handle your request.

Kailangang ipakita ang payment slip mula sa authorized payment facility sa tauhan/contractor ng Maynilad
na magsasagawa ng inyong request.

MAYNILAD WATER SERVICES, INC. | MWSS COMPLEX, KATIPUNAN AVE., BALARA 1105 QUEZON CITY, PHILIPPINES | Hotline1626 for Metro Manila
Revision: 3 and 1-800-1000-WATER (92837) for Cavite customers

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Request to Accept Payment
Cavite Business Area
CUSTOMER’S COPY THIS IS NOT A RECEIPT
MAYNILAD BUSINESS AREA COPY RAP No.:
Contract Account No.: 68116801 Date: 5/25/2021
Account Name: NIÑA ANGELA CATE Time:
TOTAL AMOUNT TO BE PAID: ☐ Cash
As payment/s for: Choose item ☐ Check

Received by:

Signature over Printed Name/Date

MAYNILAD WATER SERVICES, INC. | MWSS COMPLEX, KATIPUNAN AVE., BALARA 1105 QUEZON CITY, PHILIPPINES | Hotline1626 for Metro Manila
Revision: 3 and 1-800-1000-WATER (92837) for Cavite customers

Page 1 of 1
Request to Accept Payment
Choose BA Choose an item

MAYNILAD WATER SERVICES, INC. | MWSS COMPLEX, KATIPUNAN AVE., BALARA 1105 QUEZON CITY, PHILIPPINES | Hotline1626 for Metro Manila
Revision: 3 and 1-800-1000-WATER (92837) for Cavite customers

Page 1 of 1