Republic of the Philippines

DEPARTMENT OF TRANSPORTATION
LAND TRANSPORTATION OFFICE
LAPU-LAPU CITY HALL COMPOUND LAPU-LAPU
CITY

Field Office: LAPU-LAPU CITY EXTENSION OFFICE TIN: 000865491059

Office Code: 0760 Date: 10/22/2021 3:23 PM

OFFICIAL RECEIPT 0760-000000016120

RECEIVED FROM (Last Name, First Name Middle Name)

OPORTO, DAHLIA GALLEGO
ADDRESS (No. Street, Barangay, Municipality, Zip Code, Province)
Upper, Casili, Mandaue City, 6014, Cebu
TIN (Tax Identification Number)

PAYMENT DETAILS BREAKDOWN OF PAYMENT

Transaction: TX-MVIRS-20211022- MVUC PHP 240.00
104630
Application: MVIRS-RN-20211022- Science Tax PHP 13.50
065837 Change Venue Fee PHP 100.00
Posted: 10/22/2021
Legal Research Fee PHP 10.00
Classification: Private
Plate No: 070110
Engine No: JF78E7248366
Chassis No: K81N1003277
Color: RED/BLACK
Year: 2020
Type: Motorcycle Motorcycle
Category: Motorcycle / Moped /
Tricycle
Gross Weight: 214
Net Weight: 107
Fuel: Gas
Next Renewal: 10/01/2022 - 10/07/2022

TOTAL AMOUNT PAID: PHP 363.50

AMOUNT IN WORDS: THREE HUNDRED SIXTY-THREE PESOS AND 50/100
CENTAVO(S)

MODE OF PAYMENT: Cash

LOCATION: Lapu-Lapu City Extension Office
CASHIER: Arnel A. Colico
POS MACHINE: LAPU LAPU DO - CASHIER

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

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 Republic of the Philippines
DEPARTMENT OF TRANSPORTATION
LAND TRANSPORTATION OFFICE
LAPU-LAPU CITY HALL COMPOUND LAPU-LAPU
CITY

Field Office: LAPU-LAPU CITY EXTENSION OFFICE TIN: 000865491059

Office Code: 0760 Date: 10/22/2021 3:23 PM

OFFICIAL RECEIPT 0760-000000016120

Page 2 of 2