You are on page 1of 1

PAYMENT BREAKDOWN

PLEASE FILL - UP THE FF. DETAILS :

Company Name: Bcp dermatological Corporation


Pick-Up Address: 1570 dela Paz bldg.Dapitan St. Sampaloc Manila
Contact Person: Reginlie Ramos
Second Contact Person:
Mobile No.:
Landline No:
Email Address: bcpds.acctgmngr@gmail.com
Type of Account
(Globe/Innove/Bayantel): GLOBE
Number of Cheque: 1.00
Amount for Collection:

Billing no. Covered Period of the billing Account No. Tel Line. Gross amount Wtax Net Amount
53 November 24, 2021 to December 23, 2021 1054868573 9176265362 498.00 8.89 489.11
53 November 24, 2021 to December 23, 2021 1054868581 9176218468 696.99 12.45 684.54
53 November 24, 2021 to December 23, 2021 1054887241 9176276523 696.99 12.45 684.54
53 November 24, 2021 to December 23, 2021 1054887268 9176289231 696.99 12.45 684.54
53 November 24, 2021 to December 23, 2021 1054887276 9176286908 498.00 8.89 489.11
53 November 24, 2021 to December 23, 2021 1054887284 9176236910 498.00 8.89 489.11
53 November 24, 2021 to December 23, 2021 1054887292 9176289259 722.00 12.89 709.11
53 November 24, 2021 to December 23, 2021 1054887306 9176289273 697.00 12.45 684.55
53 November 24, 2021 to December 23, 2021 1054887322 9176289331 498.00 8.89 489.11
53 November 24, 2021 to December 23, 2021 1054887330 9176289344 498.00 8.89 489.11
53 November 24, 2021 to December 23, 2021 1054887349 9176289347 498.00 8.89 489.11
53 November 24, 2021 to December 23, 2021 1054887357 9176289356 1,245.99 22.25 1,223.74
53 November 24, 2021 to December 23, 2021 1054887365 9176289362 520.50 9.29 511.21
53 November 24, 2021 to December 23, 2021 1054887373 9176289393 696.99 12.45 684.54
53 November 24, 2021 to December 23, 2021 1054887381 9176289464 697.00 12.45 684.55
53 November 24, 2021 to December 23, 2021 1054887403 9177047035 696.99 12.45 684.54
53 November 24, 2021 to December 23, 2021 1054887438 9177089283 696.99 12.45 684.54
53 November 24, 2021 to December 23, 2021 1054887454 9177088792 696.99 12.45 684.54
53 November 24, 2021 to December 23, 2021 1054887462 9177067905 498.00 8.89 489.11
53 November 24, 2021 to December 23, 2021 1054887470 9177088941 498.00 8.89 489.11
53 November 24, 2021 to December 23, 2021 1054887489 9177088967 661.93 11.82 650.11
53 November 24, 2021 to December 23, 2021 1054887500 9177089205 696.99 12.45 684.54
53 November 24, 2021 to December 23, 2021 1054887519 9177089214 696.99 12.45 684.54
53 November 24, 2021 to December 23, 2021 1054887527 9177089325 579.72 10.35 569.37
53 November 24, 2021 to December 23, 2021 1054887535 9177089394 696.99 12.45 684.54
53 November 24, 2021 to December 23, 2021 1054887543 9177089249 754.98 13.48 741.50
53 November 24, 2021 to December 23, 2021 1054887551 9177089274 696.99 12.45 684.54
53 November 24, 2021 to December 23, 2021 1054887578 9177089731 696.99 12.45 684.54
53 November 24, 2021 to December 23, 2021 1054887586 9177089279 696.99 12.45 684.54
53 November 24, 2021 to December 23, 2021 1054887594 9177005300 897.00 16.02 880.98
26 November 24, 2021 to December 23, 2021 1085220346 9176223307 426.90 7.62 419.28
26 November 24, 2021 to December 23, 2021 1085220354 9176224959 488.70 8.73 479.97
26 November 24, 2021 to December 23, 2021 1085220370 9176285448 400.98 7.16 393.82
26 November 24, 2021 to December 23, 2021 1085220389 9176255563 754.28 13.47 740.81
GRAND TOTAL 21,891.85 390.93 21,500.92

You might also like