HQP-TMF-191

(V04, 12/2020)
Pag-IBIG Fund

PAYMENT INSTRUCTION FORM (PIF)

BUTUAN
____(Pag-IBIG Servicing Branch)____

Employer ID Number : 202448370009

Payment Instruction Date : May 17, 2022

7221 37E5 08C9

Payment Instruction Number (PIN)

EMPLOYER/BUSINESS NAME : AIM PRINTING PRESS

ADDRESS AND CONTACT DETAILS

Unit/Room No., Floor Building Name Lot No., Block No. AREA CODE TELEPHONE NUMBER
Business (Direct Line)
Phase No. House No. Street Name 085 2255414
P1 BURGOS ST Business (Trunk Line) Local
Subdivision Barangay Municipality
Cell Phone Number
TANDANG SORA POB. (BGY. 12) BUTUAN CITY
Province Region Zip Code
Business Email Address
AGUSAN DEL NORTE REGION 13 (CARAGA) 8600 aimprintingpress@gmail.com

PERIOD COVERED
TYPE OF PAYMENT AMOUNT DUE CLIENT PRINT VALIDATION
From To

MEMBER SAVINGS 05 - 2022 06 - 2022 800.00

TOTAL AMOUNT 800.00

Prepared by: Date:

IRISH MODEQUILLO MAXIMO
____ (Name and Designation)_____
PROPRIETOR 05/17/2022
__________________

REMINDERS:
1. This form is valid from ____(date)____ 06/15/2022
05/17/2022 to ____(date)____. If payment to be made is beyond the reflected validity period, this form will not be accepted
by any accredited collecting partner/s.
2. Please remit MS/pay loan obligation on or before the due date to avoid incurring penalties.

Employer ID Number 202448370009

Total Amount Due Php 800.00
PIN: 722137E508C9 TO BE FILLED OUT BY THE PAYOR
AIM PRINTING PRESS Cash Payment
P1 BURGOS ST, TANDANG SORA POB. (BGY. 12), BUTUAN CITY, AGUSAN
DEL NORTE, 8600 Check Payment
Check No.
Bank/Branch