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BIR Form No.

1701 Page 1 of 2

1 2 2 2 X X
X

7 2 2 5 7 7 0 5 3 0 8 4
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LORETE SABINA MICUTUAN

SARI-SARI STORE

PUROK I LOURDES PANGLAO BOHOL PHILIPPINES

0 3 1 3 1 9 7 1 sabinalorete@gmail.com

09564009207 X
X X

SARI-SARI STORE 4711


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X
X X

X 0

0
0
0
0
0
0
0

G0303000641 0 3 1 3 2 0 2 3
TAGBILARAN CITY 0

0
0

file:///C:/Users/User/AppData/Local/Temp/%7B5B5801C3-2BF8-488D-B9A0-BABF65... 13/04/2023
BIR Form No. 1701 Page 2 of 2

file:///C:/Users/User/AppData/Local/Temp/%7B5B5801C3-2BF8-488D-B9A0-BABF65... 13/04/2023

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