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Republic of the Philippines

DEPARTMENT OF TRANSPORTATION
LAND TRANSPORTATION OFFICE
BOLANAO TABUK, KALINGA

Field Office: TABUK DISTRICT OFFICE TIN: 483731906000


Office Code: 1424 Date: 05/04/2022 3:26 PM

OFFICIAL RECEIPT 1424-000000009738


RECEIVED FROM (Last Name, First Name Middle Name)
PULTZ, REIL LLOYD LUNES
ADDRESS (No. Street, Barangay, Municipality, Zip Code, Province)
-, Poblacion (Salegseg), Balbalan, 3801, Kalinga
TIN (Tax Identification Number)

PAYMENT DETAILS BREAKDOWN OF PAYMENT


Transaction: TX-MVIRS-20220504- MVUC PHP 960.00
278001
Application: MVIRS-RN-20220504- Legal Research Fee PHP 10.00
649115
Posted: 05/04/2022
Classification: For Hire
Plate No: AYR384
Engine No: 4BG1-955883
Chassis No: Y13-3191
Color: WHITE
Year: 2000
Type: Utility Vehicle JITNEY
Category: Utility Vehicle
Gross Weight: 3200
Net Weight: 1600
Fuel: Diesel
Next Renewal: 04/15/2023 - 04/21/2023

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Republic of the Philippines
DEPARTMENT OF TRANSPORTATION
LAND TRANSPORTATION OFFICE
BOLANAO TABUK, KALINGA

Field Office: TABUK DISTRICT OFFICE TIN: 483731906000


Office Code: 1424 Date: 05/04/2022 3:26 PM

OFFICIAL RECEIPT 1424-000000009738

TOTAL AMOUNT PAID: PHP 970.00


AMOUNT IN WORDS: NINE HUNDRED SEVENTY PESOS

MODE OF PAYMENT: Cash


LOCATION: Tabuk District Office
CASHIER: Lydia C. Ballog
POS MACHINE: TABUK DO - CASHIER

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

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