Republic of the Philippines DEPARTMENT OF TRANSPORTATION LAND TRANSPORTATION OFFICE BRGY. TIZA ROXAS CITY, CAPIZ Field Office: ROXAS CITY DISTRICT OFFICE, CAPIZ TIN: 000865491052 __ Office Code: 0636 Date; _ 06/21/2023 11:30 AM. OFFICIAL RECEIPT 0636-000000179301 RECEIVED FROM (Last Name, First Name Middle Name) (GODOFREDO DACUYA, & ROSA DACUYA ADDRESS (No. Street, Barangay, Municipality, Zip Code, Province) li, San Juan, Santa Ana, 2022, Pampanga TIN (Tax identification Number) LTO Client ID /LTO BUSINESS ID. 21-560828-1303088 PAYMENT DETAILS BREAKDOWN OF PAYMENT “Transaction No: TX-MVIRS-20230621- mvuc. PHP 2,200.00 skied Legal Research Fee PHP 40.00 Plate No: XNK676 File No: 135800000116537 Classification: Private - (PVT) Vehicle Type: Utility Vehicle JITNEY Fuel Type: Diesel Aircon Type: Non-Aircon Color: N/A Year Model: 2005 “This payment is valid until 06/2024 and due for j renewal on 06/15/2024- 06/21/2024. TOTAL AMOUNT PAID: PHP. 2,210.00 AMOUNT IN WORDS: TWO THOUSAND TWO HUNDRED TEN PESOS MODE OF PAYMENT: Cash LOCATION: Roxas Cily District Office, Capiz CASHIER: Maria Camia Agaton POS MACHINE: ROXAS DO - CASHIER This is a system generated Official Receipt. No Signatures needed. MIURepublic of the Philippines DEPARTMENT OF TRANSPORTATION LAND TRANSPORTATION OFFICE BRGY. TIZA ROXAS CITY, CAPIZ TWN: ___000865401052_ Field Office: __ROXAS CITY DISTRICT OFFICE, CAPIZ _ Date: _ 05/29/2023 11:01 AM Office Code: 0636 0636-000000173153 RECEIVED FROM (Last Name, First Name Middlo Name) GUEVARRA, RONALDO P ADDRESS (No. Street, Barangay, Municipality, Zip Code, Province) -, Milibili, Roxas City (Capital), 5800, Capiz TIN (Tax Identification Number) LTO Client ID / LTO BUSINESS ID 21-740708-1053918 Re ees ER koe ie Transaction No: Tegins-20730523- vu 2 PHP 2,200.00 058562 Surcharge PHP 200.00 RDV435 et 038000000077516 | Legal Research Fee PHP 40.00 Classification: Private - (PVT) Vehicle Type: Utility Vehicle JITNEY + Fuel Type: Diese! Aircon Type: _Non-Aircon Color: N/A Year Model: 2006 This payment is valid untit 05/2024 and due for renewal on 05/01/2024- 05/07/2024, t TOTAL AMOUNT PAID: PHP 2,410.00 AMOUNT IN WORDS: TWO THOUSAND FOUR HUNDRED TEN PESOS MODE OF PAYMENT: Cash LOCATION: Roxas City Distct Office, Capiz CASHIER: Maria Camia Agaton POS MACHINE: ROXAS DO- CASHIER This is @ system generated Official Receipt. No Signatures needed, LION 0 Page 1 of 1