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In settlement of the following BRAD EXPRESS LOGISTICS INC.

Particulars Amount 177 Sbmc Building San Julian Malasiqui, Pangasinan


NON VAT Reg. TIN: ______________

No. 0001
OFFICIAL RECEIPT
Date_______________

Received from: __________________________________________


with TIN___________________and address at ___________________
______________________________________________engaged in the
business style of ____________________________________________
the sum of _________________________________________________
____________________________________pesos (P ____________) In
partial/full payment for_______________________________________
Total Receipts
Less: Withholding Tax 25 Bklts. (50x2) SN: 0001-1250 By: ____________________________
BIR Auth. No. OCN: _______________ Cashier/Authorized Representative
Payment Due Date Issued: ______________ POQUIZ
Printer’s Accreditation No. 004MP20180000000019
Valid Until: _______________ PRINTING
PRESS Date Issued: 07-27-2018
FORM OF PAYMENT POQUIZ PRINTING PRESS
Viado, Malasiqui, Pangasinan “THIS RECEIPT IS NOT VALID FOR CLAIM OF INPUT TAXES”
Cash Check TIN: 921-203-236-000 “THIS OFFICIAL RECEIPT SHALL BE VALID FOR FIVE YEARS (5) FROM DATE OF ATP”

In settlement of the following BRAD EXPRESS LOGISTICS INC.


Particulars Amount 177 Sbmc Building San Julian Malasiqui, Pangasinan
NON VAT Reg. TIN: ______________

No. 0001
OFFICIAL RECEIPT
Date_______________

Received from: __________________________________________


with TIN___________________and address at ___________________
______________________________________________engaged in the
business style of ____________________________________________
the sum of _________________________________________________
____________________________________pesos (P ____________) In
partial/full payment for_______________________________________
Total Receipts
Less: Withholding Tax 25 Bklts. (50x2) SN: 0001-1250 By: ____________________________
BIR Auth. No. OCN: _______________ Cashier/Authorized Representative
Payment Due Date Issued: ______________ POQUIZ
Printer’s Accreditation No. 004MP20180000000019
Valid Until: _______________ PRINTING
PRESS Date Issued: 07-27-2018
FORM OF PAYMENT POQUIZ PRINTING PRESS
Viado, Malasiqui, Pangasinan “THIS RECEIPT IS NOT VALID FOR CLAIM OF INPUT TAXES”
Cash Check TIN: 921-203-236-000 “THIS OFFICIAL RECEIPT SHALL BE VALID FOR FIVE YEARS (5) FROM DATE OF ATP”

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