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REPUBLIC OF THE PHILIPPINES)

QUEZON CITY ) S.S

AGREEMENT LETTER

REF: PNP INCIDENT REPORT


ENTRY# 3226 SERIES 2022
DATED DECEMER 14, 2022

This AGREEMENT LETTER is hereby entered into between:

JAIME V. MIRANDA AND JERIMIAH Q. MIRANDA, both of legal age, Filipino and with
residence address 112 ROAD 1 BRGY. VASRA QUEZON CITY hereinafter referred to as the PAYEE;
and

JASON RODRIGUEZ, with residence address at # 12 NENITA EXT. BRGY. GULOD QUEZON
CITY hereinafter referred to as the PAYOR; that, the PAYOR and PAYEE agree to settle the accident
case as follows;

1. That a total payment of EIGHT THOUSAND PESOS (Php 8,000.00) will be the settlement
amount to be paid by the PAYOR to the PAYEE;

2. That the PAYOR will pay in installments the amount TWO THOUSAND PESOS (Php
2,000.00) to the PAYEE every 15th and 30th day of the month;

3. That the PAYOR will begin the pay in installments starting on MAY 15, 2023 to be
completed on JUNE 30, 2023;

4. That the PAYOR may pay in cash or via GCASH to the number 09567052513;

IN WITNESS WHEREOF, we have hereunto set our hands this day of May 6th, 2023 at Quezon City,
Philippines.

JAIME V. MIRANDA JERIMIAH Q. MIRANDA


PAYEE PAYEE

JASON RODRIGUEZ
PAYEE

SUBSCRIBED AND SWORN TO before me this day of May 6th, 2023, at Quezon City, Philippines.

Doc. No.______;
Page No. _____;
Book No. _____;
Series of 2023

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