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Republic of the Philippines

DEPARTMENT OF TRANSPORTATION
LAND TRANSPORTATION OFFICE
PHILPOST COMPOUND ANNEX BLDG. II LIWASANG
BONIFACIO, MANILA

Field Office: MANILA SOUTH DISTRICT OFFICE TIN: 000865491001


Office Code: 1348 Date: 11/03/2022 12:06 PM

OFFICIAL RECEIPT 1348-000000079730

RECEIVED FROM (Last Name, First Name Middle Name)


MENDOZA, SHIELA SIOC
ADDRESS (No. Street, Barangay, Municipality, Zip Code, Province)
116d Alfonso St Balut Tondo, Barangay 138, Manila City, 1013, Metro Manila,
City Of Manila, First District
TIN (Tax Identification Number)

PAYMENT DETAILS BREAKDOWN OF PAYMENT


Transaction: TX-MVIRS-20221103- MVUC PHP 240.00
107294
Plate No: 138009 Science Tax PHP 10.50

File No: 138000001194005 Legal Research Fee PHP 10.00

Classification: Private
Engine: G3E4E-1629382
Chassis: MH3SG31B0K0025654
Vehicle Type: Motorcycle Motorcycle
Gross Weight: 295
Next Renewal: 09/22/2023 - 09/30/2023

TOTAL AMOUNT PAID: PHP 260.50


AMOUNT IN WORDS: TWO HUNDRED SIXTY PESOS AND 50/100
CENTAVO(S)

MODE OF PAYMENT: Cash


LOCATION: Manila South District Office
CASHIER: Sarah C. Nava
POS MACHINE: MSDO-CASHIER1

This is a system generated Official Receipt. No Signatures needed.

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