CONVERGE INFORMATION AND COMMUNICATIONS

TECHNOLOGY SOLUTIONS, INC.

New Street Building, Mac Arthur Highway
Balibago, Angeles, Pampanga 2009
VAT Reg TIN : 006-895-049-000
OFFICIAL RECEIPT REPRINT
OR-0000000005341588
Customer Name MR. ARLAN LADERAS MANHIC
Address NA, CENTRO, CATININGAN, SOCORRO,
ORIENTAL MINDORO, 5207 Date 01/19/2024
TIN No. Account No. 1680000685944
Business Style

Transaction Details Amount

Main line fee PHP 608.87
Less: Withholding Tax PHP 0.00
Withholding Tax-VAT PHP 0.00
Net Amount Paid PHP 608.87
Mode of payment
Bank(Paynamics) VATable Sales PHP 543.63
Zero-rated Sales PHP 0.00
Exempt Sales PHP 0.00
VAT amount PHP 65.24
Total PHP 608.87

"THIS IS A SYSTEM GENERATED DOCUMENT UNDER A COMPUTERIZED ACCOUNTING SYSTEM"

Acknowledgement Certificate No Date Issued Series Range System Name Date Generated
21A-CAS-2022-08-0002 08/12/2022 0000000000000000 - HOBS v8.2 01/19/2024
9999999999999999