ShopeePay Philippines, Inc.

37/F Net Park Bldg. 5th Ave. Bonifacio Global City, Fort Bonifacio 1634
Taguig City NCR, Fourth District Philippines
VAT REG. TIN: 009-336-505-00000
Business Style: ShopeePay Philippines, Inc.

Acknowledgement Receipt (e-Wallet Services)

Date: 31-Dec-2023

Series Number ISARWA000001300962

Applied Billing -
Statement No.
Received From Merry Grace Saricon Malijan
TIN -
Business Style Merry Grace Saricon Malijan
Address Number 1 National Road Barangay Quilao,
Tolosa, Leyte 6503, Philippines

Description Receipt Amount in PHP Functional Amount in PHP

Cash-In Amount from Direct Debit/ OTC/ Non-Bank/ Online channels for 6,049.00 6,049.00
Dec 2023

"THIS DOCUMENT IS NOT VALID FOR CLAIM OF INPUT TAX"

Acknowledgment Certificate: AC-044-09-2023-000285

Date Issued: September 28, 2023
Effective Date: November 15, 2023
Series Number: ISARWA000000000001-ISARWA999999999999

* This is a system-generated document. No signature is required.

* Original

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