Professional Documents
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KASULATAN
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MPr
Pangalan at lagda sa ibabaw
WITHNESS
{for Tric.r'clel
Thiscertificaticlnisbeingissrredfor@puIpoSeS.iriththetiine1irnit
]-rtesetitecl br lau to *it rittltjlt 1 reat'belore rh"
penod for which the certificate of
R.l. .n.Llr n l.ccrr r-.r,c,i amended. "rpl.uri*Tthe
HON. DOMINIC
2021 - 1153
EI-. fEL
liJlurvr
Q,R, CODE
D No TRATGX2021 01 09000376
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Operator's copy
sticker no.2021-1160
ilil lill tilflilt ffi tilflilililt ilt]il il til
Operator RUDY A. Address Zone B A
lt/ake & color. B Plate no.
Motor no. 1
Chassis no. '201
MTOP no. MB- 18 63 MTOP exp. date 1
by: Danilo Quiday
ASSESSI\4ENT:
Mayorls permit 00
1 OR no. s3093s0
Sticker 0.00 OR date January 13"202 1
Occupationalfee 200.00
Mayor's clearance
CTC no. ts9szs89
100.00 CTC date 13,202 1
Police clearance 0.00
Sub total 60
25% Surcharge 0
lnterest 0
TOTAL
lssued by:
Received by:
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Jodv Number purposes. u,ith the tirne lirnit
.atiorr ol the penod for whrch the certificate of
,rable.
4ued,, Abra"
HON. ],OMN{IC RA
2021 * ils3
Republic of th'e Philippines
Province of Abra
Municipality of Bangued
CERTIFICATION
This is to certiff that Mr. 0 OI/ I DAY
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ilrivers Association (TOD t{Oo Yu^zAtr
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Issued ttris lll'day of - ^i&NUARY Z 02i _' ganguect.Abra, phlippines
IL, { tW_
TODA Presider/t
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ADDRESS
Bangued SEX flfl MALE
.,r,r.FlIpinB ICR PLA,CE HEIGHT
&Fra 5',7"
CIVIL Srnqle Separaled WEIGHT
Married
[r."1zl'1987 70kgs.
PROFESSION /
units/ PNP i TAXABLE CO['[4UN]TY
AMOUNI TAX DUE
=i
A BASTC COMMUNTTY TAX (F5 or (P 00)
1
F 5.00
B. ADDITIONAL COMMUNITY to exceed F5,000.00)
GROSS RECE]PTS OR DERIVED THE
1. PRECEDING YEAR ( i] 00 for every F ) 000.00 115.r10
.z SALAR]ES OR GROSS RECEIPT OR EARNINGS
PRoFESstoN
EXERC SE OF
l ;64.000"o0 3A4"08
3 rNcoME FRoM REAL pRopERTy ( F1 00 for every p K(
?
TSPAYER S S GNATURE
TO iAL F 504.0CI
INTEREST 0.oCI
P TOTAL
F 504.oCI
AfulOUNT PAID
Aefing (rn worhirB
hundrnd fnur p3$os
DOP 05 06.2019
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AccouNresrp Forur No. 51-C
Reviseil J anuary, 1992 I
(oRrGrNAL)
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0fficial Receipt
of the
Repubtic of ihe phi lippines
Ne 7261895 D I
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%
i )itt.' i sn i r:.S*
Payor
Nature
Collection Code Amount
P
rfF
i.iElri
I tirh.t=r
B*€uFsti0E$mB-- =I=EI
ftll rr
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lEnllnstlen-fe€-.-- 3*Er
TOTAL =P
Amount in Words
wee
cash
Q Bank Number Date
E Check
E Money 0rder
Received the amount stated above.
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s$n"$r
NOTE: w rI e the nu ltl b er and dat of th
s IC C e1p on
the back of check or money order received.
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Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIOT{AL POLICE
Camp BGen RafaelT Crame, Quezon City
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NATIONAL POLICE CLEARANCE
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THIS rS TO CERTIFY that the person whose name irlotc. signaiure and
right thumbmark appear herein, has undergone rout..r.ir identificai c: ar.l ver:ication of
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ffi the Cnme-Related RecorCs and ldentiflcation of Nal,c-a Police Cieaiane Sislen
o
DATE ISSUED: January 09, 2021 GENDER MALE
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SIGNATURE THUMBMARK
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BiRTH DATE
BIRTH PLACE
July 12, 1987
BANGUED (CAPITAL) , ABRA fr
PICTURE
CITIZENSHIP
GENDER
FTLIPINO
II'ALE
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DATE ISSUED: January 09, 202'l
VALID Ul'lTlL: July 09, 2021 NO RECORD ON FILE o
-ifj"t,
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SIGNATURE THUMBMARK
EIlIf,f*E
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Q.R, CODE
lD No.:TRATGX2O21 01 09000376
l't;il r,.i.
PMGEil MARNI C
ry" t
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AMENDiUENT/REI{EWAL
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Republic of the Philippines
CORDILLERA ADNIINI STR.\TIVE REGION
Province of Abra
MUNICIPALITY OF BANGUEI)
OFFICE OF THE S.{NGGTTNTANG BAYAN
BANGUED TRICYCI,E FRAI{CHISINC; A\D REGUL,\TORY BOARD GTFRB)
CONDITIONS
-ivith Rureau of
1. Appiicant u,ill registel tl-re here-in authorizeii unitis under X,ICH denominaiiorl
Land Transporrarion Olflce (LTO) Abra agencl within thirty (30) days frorn receipt hereof. The
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* said agencl. sha11 cause the inspection of the r-rnit/s for puroose of registration arld
# roadworlhiness and should be flt for motorcl'cle/tricycle service.
ft
lkild 2. The route of operation shaii be painteri on irom sicie beiow fianchise no. i 1/2 inches in ireight.
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1*{te 3. The ntilimum height of the sidecal should be 34 inches vertical fi"o* passenger seat to roof; 30
rh inches n-ide to accontmodate trvo (2) passengers.
6.
rq# 1. The operator shall charge the rate as pror irled for them by the MLINICIPAL FARE MATRIX
r--1 ORDINANCE.
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5. Applicant shall pay to ti'ris boarci on t elore.lanuary 20t;'of each year, with the fbilow'ing fees
@ and charges to pay.
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6. The AUTFIORII'Y herein grar.rted sha1l be valid for three (3) years counted frorn receipt hereof.
r*.r 7. Applicant in the operation of this service shall strictll- observed/comply with all the r.rles'and
regulations of the BTFRB Board Municipal Ordinance, traffic regulations and all c-rtirer laws as
rnaybe promulgated from titne to time.
HO A INO B. BELLO
Chairman
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OFFIEE
Easl Avenue. euezon City
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Field $ffice Code: *,*.";..*_
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BOARD
BANGUED TRICYCLE FRANCHISING AND REGULATORY
Headlight
TailLight
Signal Light
Stop Light
lnterior Light
Horn
Foot Brake
Hand Brake
Side Mirior
Sidecar Height
(34 inches)
Trash Can
Silencer
Center Seat
Backrest
Plastic Barrier
Alcohol
lnspector
l- 13- aA
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