ALTAI PHILIPPINES MINING CORPORATION ALTAI PHILIPPINES MINING CORPORATION

1901 Tycoon Center, Pearl Drive, San Antonio, Ortigas Center, 1605 Pasig City 1901 Tycoon Center, Pearl Drive, San Antonio, Ortigas Center, 1605 Pasig City

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Name of Store/Merchant : ____________________________________ Name of Store/Merchant : ____________________________________

Location : __________________________________________________ Location : __________________________________________________

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ALTAI PHILIPPINES MINING CORPORATION ALTAI PHILIPPINES MINING CORPORATION

1901 Tycoon Center, Pearl Drive, San Antonio, Ortigas Center, 1605 Pasig City 1901 Tycoon Center, Pearl Drive, San Antonio, Ortigas Center, 1605 Pasig City

PAYMENT VOUCHER PAYMENT VOUCHER

Date : _____________________ Date : _____________________

Name of Store/Merchant : ____________________________________ Name of Store/Merchant : ____________________________________

Location : __________________________________________________ Location : __________________________________________________

No. Particulars Amount (PHP) No. Particulars Amount (PHP)

Total : Total :

Received payment by: Received payment by:

__________________________________________ __________________________________________
Signature over printed name/ Date Signature over printed name/ Date

Contact no. : _______________________________ Contact no. : _______________________________