Region IV-Regional Trial Court JEP-23-000288506

SAN PABLO CITY, Laguna

Date and Time Paid: Jul 31, 2023 03:36 PM Transaction No.: sy56BVr6KC6Y
Date and Time Posted: Jul 31, 2023 03:36 PM Confirmation No.: 6612388024048
Mode of Payment: Online Payment - UPay Assessment No.: RTC478477334
Name of Payor: Ivan Earl Belen Zapanta Reference No.: c9f2af2db27048ab8ad3097f8814fff8
Nature of Collection: Filing of Applications, Payment Status: PAID
Motions, or Requests
Collection Type: Certification under Rule 138-A, LAW STUDENT PRACTICE
Case No./Roll/MCLE/Bar N/A
Examinee No.
Case Title/Particulars: Application for CLEP Level 2 Certification

Assessment details:

Type of Fund/Nature of Payment Filing Fee Miscellaneous Fee Total Amount

JDF 100.00 100.00
SAJF 100.00 100.00
LRF 10.00
GF 30.00
TOTAL AMOUNT: ₱ 240.00

Payment details:

OR No. Date and Time Amount Paid Running Balance

JEP-23-000288506 Jul 31, 2023 03:36 PM ₱ 240.00 ₱ 0.00
LATEST AMOUNT PAID IN WORDS: TWO HUNDRED FORTY AND 00/100**

******** NOTHING FOLLOWS ********

NOTE 1: This serves as the Legal Fees Form. Convenience fee or bank charges are not part of the collection of the court.

Payment Confirmed & Verified by:

ATTY, RICA KATHRINE F. REYES-AUSTRIA

OIC

SCP-JEP Version 4.0 Page 1 of 1 Printed on 07/31/2023 - 03:38 PM