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IN SETTLEMENT OF THE GAUDELINO VICTORIA PAEZ, JR.

- REAL ESTATE AGENT


FOLLOWING 556 PANIQUE ST., SAN JOSE, BULAKAN, BULACAN 3017
INVOICE NO. AMOUNT NON-VAT REG. TIN: 498-598-828-00000

TOTAL SALES
LESS: SC/PWD No. 0501
DISCOUNT
TOTAL
LESS: OFFICIAL RECEIPT DATE:
WITHHOLDING TAX
TOTAL PAYMENT Received from WITH TIN _
CHANGE
AND ADDRESS AT ENGAGED IN THE
BUSINESS STYLE OF
THE SUM OF __ _PESOS
(P ) IN PARTIAL/FULL PAYMENT FOR

FORM OF PAYMENT
CASH CHECK
SR. CITIZEN TIN
BANK:
CHECK NO.: BY: _____________________________
OSCA/PWD ID NO. SIGNATURE
Cashier/Authorized Representative

Printer’s Accreditation No. 25BMP20180000000035


10 BKLTS (50x2) 0501-1000 Date Issued DEC 14, 2018 Exp. Date DEC 13, 2023
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DATE ISSUED “THIS DOCUMENT IS NOT VALID FOR CLAIMING INPUT TAXES”
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