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  • Pax 22 X 0016325062

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    Logic Circuit
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    The official receipt summarizes a payment made by Joe Mari Herradura for the renewal of their driver's license. It provides details of the payment including the license number, type of renewal, classification, amount paid of PHP 585, date, cashier information and confirms it is a system generated receipt.

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    Pax 22 x 0016325062

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    The official receipt summarizes a payment made by Joe Mari Herradura for the renewal of their driver's license. It provides details of the payment including the license number, type of renewal, classification, amount paid of PHP 585, date, cashier information and confirms it is a system generated receipt.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    117 views1 page

    Pax 22 X 0016325062

    Uploaded by

    Logic Circuit
    The official receipt summarizes a payment made by Joe Mari Herradura for the renewal of their driver's license. It provides details of the payment including the license number, type of renewal, classification, amount paid of PHP 585, date, cashier information and confirms it is a system generated receipt.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Republic of the Philippines

    DEPARTMENT OF TRANSPORTATION
    LAND TRANSPORTATION OFFICE
    BRGY. STA. CLARA SUR PILA, LAGUNA

    Field Office: STA CRUZ DISTRICT OFFICE TIN: 000865491061


    Office Code: 0476 Date: 09/02/2022 11:46 AM

    OFFICIAL RECEIPT 0476-000000090616


    RECEIVED FROM (Last Name, First Name Middle Name)
    LARAÑO, JOE MARI HERRADURA
    ADDRESS (No. Street, Barangay, Municipality, Zip Code, Province)
    25b Ml Quezon St.San Roque, San Roque (Pob.), Victoria, 4011, Laguna
    TIN (Tax Identification Number)
    505928657000

    PAYMENT DETAILS BREAKDOWN OF PAYMENT


    Transaction: TX-DLS-20220902-960456 - License Fee PHP 585.00
    01
    Lic. No: D12-18-007418
    Application: RENEWAL, NORMAL
    RENEWAL WITH VALID
    LICENSE, 10-YEARS
    LICENSE RENEWAL
    Classification: Driver's License

    TOTAL AMOUNT PAID: PHP 585.00


    AMOUNT IN WORDS: FIVE HUNDRED EIGHTY-FIVE PESOS

    MODE OF PAYMENT: Cash


    LOCATION: Sta Cruz District Office
    CASHIER: Charmaine Grace V. Manalang
    POS MACHINE: STA CRUZ PILA DO - CASHIER

    This is a system generated Official Receipt. No Signatures needed.

    Page 1 of 1

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