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Republic of the Philippines

DEPARTMENT OF TRANSPORTATION
LAND TRANSPORTATION OFFICE
OLIVARES PLAZA BRGY. SAN DIONISIO,
PARAÑAQUE CITY

Field Office: PARAÑAQUE DISTRICT OFFICE TIN: 000865491001


Office Code: 1367 Date: 01/08/2024 5:09 PM

OFFICIAL RECEIPT 1367-000000410992

RECEIVED FROM (Last Name, First Name Middle Name)


PADILLA, ELMER ESCOBIO
ADDRESS (No. Street, Barangay, Municipality, Zip Code, Province)
508 Yakal St, Comembo, Makati City, 1217, Metro Manila,
Fourth District
TIN (Tax Identification Number) LTO Client ID / LTO BUSINESS ID
24-780328-2946062

PAYMENT DETAILS BREAKDOWN OF PAYMENT


Transaction: TX-DLS-20240108-884726 - License Fee PHP 585.00
01
Application: RENEWAL, EXPIRED Penalty Fee PHP 150.00
LICENSE (2ND YEAR), 10-
YEARS LICENSE RENEWAL
Classification: Driver's License
Lic. No: D16-05-012374
Medical Exam
Schedule 1: JANUARY 28,2028 to MARCH
28,2028
Schedule 2: JANUARY 27,2031 to MARCH
28,2031

TOTAL AMOUNT PAID: PHP 735.00


AMOUNT IN WORDS: SEVEN HUNDRED THIRTY-FIVE PESOS

MODE OF PAYMENT: Cash


LOCATION: Parañaque District Office
CASHIER: Rachelle Reyes
POS MACHINE: PARAÑAQUE DO_CASHIER_02

This is a system generated Official Receipt. No Signatures needed.

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