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  • QC E Services

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    Angelyn Mendoza
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    This document is an order of payment from the Quezon City Health Department for Angelyn B Mendoza to pay ₱75 for a Health Certificate Fee. The payment breakdown shows ₱75 for the Health Certificate Fee and ₱0 for HIV/AIDS Seminar Fee, Massagist Course Fee, VD Clearance/Smear Fee, and various laboratory fees. The total amount due is ₱75.

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    This document is an order of payment from the Quezon City Health Department for Angelyn B Mendoza to pay ₱75 for a Health Certificate Fee. The payment breakdown shows ₱75 for the Health Certificate Fee and ₱0 for HIV/AIDS Seminar Fee, Massagist Course Fee, VD Clearance/Smear Fee, and various laboratory fees. The total amount due is ₱75.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    17 views2 pages

    QC E Services

    Uploaded by

    Angelyn Mendoza
    This document is an order of payment from the Quezon City Health Department for Angelyn B Mendoza to pay ₱75 for a Health Certificate Fee. The payment breakdown shows ₱75 for the Health Certificate Fee and ₱0 for HIV/AIDS Seminar Fee, Massagist Course Fee, VD Clearance/Smear Fee, and various laboratory fees. The total amount due is ₱75.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 2

    Republic of the Philippines

    Quezon City
    Quezon City Health Department

    Order of Payment
    Health Certificate

    The City Treasurer Bldg.


    Miscellaneous Section

    Sir / Madam:
    Please accept payment from Mr. / Ms. Angelyn B Mendoza the amount of ₱75.00 Computed as
    follows:

    Name Amount

    Health Certificate Fee 613-004 ₱75.00

    HIV/AIDS Seminar Fee ₱0.00

    Massagist Course Fee ₱0.00

    VD Clearance/Smear Fee ₱0.00

    Laboratory Fees  

    Stool Exam ₱0.00

    Sputum/Xray Exam ₱0.00

    Verification ₱0.00

    Health Occupancy Permit Fee 605-010 ₱0.00

    Total ₱75.00

    ESPERANZA ANITA ESCAÑO-ARIAS, MD, MPH


    Authorized Personnel

    Paid under O.R. #:  


    :
    Paid under O.R. #:  
    Date:  

    Reference No.: M0656226H
    :

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