DRAGONPAY CORPORATION BILLING STATEMENT

Suite B, 5th Floor Builders Centre, 170 Salcedo St.

Legaspi Village, San Lorenzo, Makati City 1229
Vat Reg TIN : 007-790-056-00000 0000001

Date
Sold To:

Contact Person :
Address:

Business Style:
TIN :
Contact No:

PARTICULARS TXN COUNT RATE Discount Amount

Net of Vat
Vat Amount
Withholding Tax
Remarks: Discount
TOTAL

Amount in Word:

Prepared by: Noted by: Approved by:

Print Name & Signature Print Name & Signature Print Name & Signature

25 PADS (50x3) 0000001 - 00001250

BIR Authority to Print No. 9AU0000*******
APP / REF NO. **** THIS DOCUMENT IS NOT VALID FOR CLAIMING INPUT TAXES
Date Issued: **/**/2019; Expiry Date **/**/2024 "THIS BILLING STATEMENT SHALL BE VALID FOR (5) YEARS FROM THE DATE OF ATP"
Loose leaf Permit No. **** Date Issued **/**/2019
3J PRINTING PRESS
45 Social Housing Project, Champaca St. Marikina Height, Marikina City
NON VAT REG. TIN 162-945-971-00000

Printer's Accreditation No.: 045MP20190000000030

Date Issued: 02-01-2019 *Date of Expiration: 01/31/2024