9/14/21, 7:27 PM BOQ MEDICAL SERVICES OBS™

BUREAU OF QUARANTINE
Eastwood - Unit B302, Third Floor Citywalk 2, Eastwood

REFERENCE NUMBER

PPGBOQOBQUF0OGS
ITEM/S: Certification of Vaccine for COVID 19

TRANSACTION ID: 1116316176637278

APPOINTMENT ID: 000420210914190743738459

AMOUNT 370.00

CONVENIENCE FEE 0.00

TOTAL ₱ 370.00

BRANCH EASTWOOD

ITEM/S Certification of Vaccine for COVID 19

PAYMENT METHOD E-Money

CUSTOMER NAME APOLONIO II CARODAN DAMIL

APPOINTMENT DATE October 21, 2021

APPOINTMENT TIME 09AM - 10AM

TRANSACTION DATE September 14, 2021

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9/14/21, 7:27 PM BOQ MEDICAL SERVICES OBS™

TRANSACTION TIME 07:20 PM

This serves as your official e-Receipt for this transaction.

PISOPAY.COM

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