Region X-Municipal Circuit Trial Court JEP-23-000100367

MARAMAG-KALILANGAN-PANGANTUCAN, Bukidnon

Date and Time Paid: Mar 13, 2023 01:24 PM Transaction No.: QPtwgmFB1gLP
Date and Time Posted: Mar 13, 2023 01:24 PM Confirmation No.: 9729739506989
Mode of Payment: Online Payment - UPay Assessment No.: MCTC878158976
Name of Payor: IRENE L CABALUNA Reference No.: 4f0b32cfc2ef4f9e8e05267cf1034c8c
Nature of Collection: File Case, Supplemental Payment Status: PAID
Pleadings, and Answers
Case Type: Small Claims Cases for Duly Registered Engaged in the Business of Banking, Lending and Similar
Activities
Case Number/Roll No./MCLE N/A
No./Applicant ID:
Case Title/Particulars: IRENE L. CABALUNA VS DIANNE JANE P. BAOY

Assessment details:

Type of Fund/Nature of Payment Filing Fee Miscellaneous Fee Total Amount

JDF 90.00 56.00 146.00
SAJF 210.00 144.00 354.00
LRF 10.00
VCF 5.00
STF 1,000.00
TOTAL AMOUNT: ₱ 1,515.00

BASIS OF FILING FEES: ₱ 13,868.00

Payment details:

OR No. Date and Time Amount Paid Running Balance

JEP-23-000100367 Mar 13, 2023 01:24 PM ₱ 1,515.00 ₱ 0.00
LATEST AMOUNT PAID IN WORDS: ONE THOUSAND FIVE HUNDRED FIFTEEN AND 00/100**

******** NOTHING FOLLOWS ********

NOTE 1: This serves as the Legal Fees Form. Convenience fee or bank charges are not part of the collection of the court.

Payment Confirmed & Verified by:

MARIEVE S. CONVOCAR
Clerk of Court II

SCP-JEP Version 4.0 Page 1 of 1 Printed on 03/13/2023 - 01:24 PM