Annex D

Inventory List of Unused/Expired Principal and Supplementary

Receipts & Invoices
As of March 31, 2021

Name of Taxpayer: Jacquelyn Jane D. Ortile

Business/Trade Name: RYGEL OFFICE AND SCHOOL SUPPLIES
Taxpayer Identification Number (TIN): 335-853-730-000 Branch Code: 000
Business Address: #7 Camiling-Bayambang Road, Tambugan, Camiling, Tarlac
ATP OCN: OCN4AU0002435613 Date Issued: September 23, 2020

DESCRIPTION OF RECEIPTS/INVOICE

No. of
No. of Booklets
Sets No. of Serial Nos.
DESCRIPTION TYPE Copies
LOOSE BOUND Per From To
Booklet Per Set

_____________________
Jacquelyn Jane D. Ortile

Received by:

_____________________________
(TSS Chief/Registration Section Chief)

Verified correct by:

____________________________
(Officer of the Day-Assessment Section)