U AND ME PAYMENT CENTER U AND ME PAYMENT CENTER

JOYCE V. MONDRAGON- Proprietress JOYCE V. MONDRAGON- Proprietress

Barangay II (Pob. ) City of Silay Negros Occidental NO. Barangay II (Pob. ) City of Silay Negros Occidental NO.
Contact No. :09952040482 Contact No. :09952040482
Non Vat Reg.: 477-216-135-000 DATE:
OFFICIAL RECEIPT Non Vat Reg.: 477-216-135-000 DATE:
OFFICIAL RECEIPT
CUSTOMER NAME: BUS. STYLE CUSTOMER NAME: BUS. STYLE

ADDRESS: TIN: ADDRESS: TIN:

QTY ARTICLE/ DESCRIPTION UNIT AMOUNT ₱ TOTAL SALES QTY ARTICLE/ DESCRIPTION UNIT AMOUNT ₱ TOTAL SALES
PRICE PRICE

LESS: DISCOUNT LESS: DISCOUNT

TOTAL AMOUNT DUE TOTAL AMOUNT DUE

[ ] CASH [ ] CHECK [ ] CREDIT [ ] CASH [ ] CHECK [ ] CREDIT

PRINTER’S NAME: TIN: ADDRESS: PRINTER’S ACCREDITATION NO. DATE ISSUED: EXPIRY DATE: CASHIER/AUTHORIZED PERSON PRINTER’S NAME: TIN: ADDRESS: PRINTER’S ACCREDITATION NO. DATE ISSUED: EXPIRY DATE: CASHIER/AUTHORIZED PERSON
CORNER RIZAL-LOCSIN CORNER RIZAL-LOCSIN
263-783-223-000 STREETS, BACOLOD CITY 077MP20200000000003 AUG. 06, 2020 AUG. 06, 2025 263-783-223-000 STREETS, BACOLOD CITY 077MP20200000000003 AUG. 06, 2020 AUG. 06, 2025
703-1094 “THIS DOCUMENT IS NOT 703-1094 “THIS DOCUMENT IS NOT
PTU NO.: BOX/BKLT NO. SETS: COPIES SERIAL NO.: BIR ATP NO.: DATE ISSUED: VALID FOR CLAIM OF PTU NO.: BOX/BKLT NO. SETS: COPIES SERIAL NO.: BIR ATP NO.: DATE ISSUED: VALID FOR CLAIM OF
PER SET PER SET INPUT TAXES”
INPUT TAXES” 12
12 50 2 0601-1200 XXXXXXXXXXXXXX XX-XX-XX 50 2 0601-1200 XXXXXXXXXXXXXX XX-XX-XX

U AND ME PAYMENT CENTER U AND ME PAYMENT CENTER

JOYCE V. MONDRAGON- Proprietress JOYCE V. MONDRAGON- Proprietress
Barangay II (Pob. ) City of Silay Negros Occidental NO. Barangay II (Pob. ) City of Silay Negros Occidental NO.
Contact No. :09952040482 Contact No. :09952040482
Non Vat Reg.: 477-216-135-000 DATE:
OFFICIAL RECEIPT Non Vat Reg.: 477-216-135-000 DATE:
OFFICIAL RECEIPT
CUSTOMER NAME: BUS. STYLE CUSTOMER NAME: BUS. STYLE

ADDRESS: TIN: ADDRESS: TIN:

QTY ARTICLE/ DESCRIPTION UNIT AMOUNT ₱ TOTAL SALES QTY ARTICLE/ DESCRIPTION UNIT AMOUNT ₱ TOTAL SALES
PRICE PRICE

LESS: DISCOUNT LESS: DISCOUNT

TOTAL AMOUNT DUE TOTAL AMOUNT DUE

[ ] CASH [ ] CHECK [ ] CREDIT [ ] CASH [ ] CHECK [ ] CREDIT

PRINTER’S NAME: TIN: ADDRESS: PRINTER’S ACCREDITATION NO. DATE ISSUED: EXPIRY DATE: CASHIER/AUTHORIZED PERSON PRINTER’S NAME: TIN: ADDRESS: PRINTER’S ACCREDITATION NO. DATE ISSUED: EXPIRY DATE: CASHIER/AUTHORIZED PERSON
CORNER RIZAL-LOCSIN CORNER RIZAL-LOCSIN
263-783-223-000 STREETS, BACOLOD CITY 077MP20200000000003 AUG. 06, 2020 AUG. 06, 2025 263-783-223-000 STREETS, BACOLOD CITY 077MP20200000000003 AUG. 06, 2020 AUG. 06, 2025
703-1094 “THIS DOCUMENT IS NOT 703-1094 “THIS DOCUMENT IS NOT
PTU NO.: BOX/BKLT NO. SETS: COPIES SERIAL NO.: BIR ATP NO.: DATE ISSUED: VALID FOR CLAIM OF PTU NO.: BOX/BKLT NO. SETS: COPIES SERIAL NO.: BIR ATP NO.: DATE ISSUED: VALID FOR CLAIM OF
PER SET PER SET INPUT TAXES”
INPUT TAXES” 12
12 50 2 0601-1200 XXXXXXXXXXXXXX XX-XX-XX 50 2 0601-1200 XXXXXXXXXXXXXX XX-XX-XX