Inventory List of Unused/Expired Principal and Supplementary Receipts & Invoices

As of August 12, 2018

Name of Taxpayer : Chona Jardin Decierdo

Business/Trade Name : Chona J. Decierdo- House Rental

Taxpayer Identification Number (TIN) : 302-459-483-000

Business Address : 2525 Onyx St. San Andres Bukid, Manila

ATP OCN : 1AU0001103887 Date Issued : August 22, 2018

No. of Booklets No. of No. of Serial Nos.

Descriptio Type Sets per Copies
n Booklet per Set
Loose Bound From To

Official Non-VAT 0 2 50 2 0901 1000

Receipts

Chona Jardin-Decierdo
(Signature over Printed Name of Taxpayer)

Received by:

_______________________________
(TSS Chief/Registration Section Chief)

Verified Correct by:

_______________________________

(Office of the Day- Assessment Section)