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Republic of the Philippines

DEPARTMENT OF TRANSPORTATION
LAND TRANSPORTATION OFFICE
DOLCE CASA DI JO VILLE BRGY. TAWIRAN,
CALAPAN CITY, ORRIENTAL MINDORO

Field Office: NEW REGISTRATION UNIT TIN: 713828381000


Office Code: 0403 Date: 09/24/2024 11:02 AM

OFFICIAL RECEIPT 0403-000000057864

RECEIVED FROM (Last Name, First Name Middle Name)


ESGUERRA, DOMINGA ESCALONA
ADDRESS (No. Street, Barangay, Municipality, Zip Code, Province)
Sitio Kwatro, Sampaguita, Victoria, 5205, Oriental Mindoro
TIN (Tax Identification Number) LTO Client ID / LTO BUSINESS ID
24-730421-0201046

PAYMENT DETAILS BREAKDOWN OF PAYMENT


Transaction No: MAIRD-SAR-20240914- Cost of plate PHP 120.00
787909
MVUC PHP 720.00
Plate No: 757VVA Science Tax PHP 40.50
File No: 040324002701881
Classification: Private - (PVT) Transfer Fee PHP 50.00

Vehicle Type: Motorcycle Without Sidecar Legal Research Fee PHP 10.00
Fuel Type: Gas
Aircon Type: N/A
Color: WHITE
Year Model: 2024
This payment is valid until
07/2027 and due for
renewal on 07/08/2027-
07/14/2027.

TOTAL AMOUNT PAID: PHP 940.50


AMOUNT IN WORDS: NINE HUNDRED FORTY PESOS AND 50/100
CENTAVO(S)

MODE OF PAYMENT: GCash


LOCATION: -

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

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