AL ae or it Page 1 of 2, 1 Copy ER Sex Oa ot oh sic 0 oar a Finilloreiacasnensrecenemmmnt NLL Ctr ‘BEST POSSIBLE IMAGE 04305-A931308-0 ‘CLAIRE DENNIS bye Ph.D. hn 100 00 oor Sas ey J ory ea ‘aman. pes CUAATTSATUEEEOLEST MO DSUUSLETT EL (07521-66-420ADD-00257-B1001 ‘ReSTPORSBLEMNGE ‘ragio7571420002570808202000" sso900248280 ti ‘ax Pald Page 2 of 2, 1 Copy CLAIRE DENNIS 5. MAPA, Ph.D. ‘National Statistician and Civil Registrar Gororal Philippine Stasis Authority ALRepublic of the ree PHILIPPINE STATISTICS AUTHORITY OFFICIAL RECEIPT OR No. 200804-420~34-HOC-00264 DIZON MICHAEL JOHN LUIS Tran Wo. 07521-420-00257-001 MICHAEL JOHN LUIS C DIZON 05/03/1993 COPY ISSUANCE - RIRTH ad aioe Unit Cost: 155.00 Oty: 155.00 TOTAL 155.00 AMOUNT TENDERED 155.00 CHANGE 6 4 AUG 5020 0.00 CASH IWOLURES “HROUMENTARY STAMP TAX OF PHP3O.00/COPY Collecting eat CORRAL, NAGDALENA a. Terginal Code: Date-Times 08/04/2020 11