Region IX-Regional Trial Court JEP-24-000720603

DIPOLOG CITY, Zamboanga del Norte

Date and Time Paid: Mar 07, 2024 12:43 PM Transaction No.: j2sV9WkQJz8p
Date and Time Posted: Mar 07, 2024 12:43 PM Confirmation No.: 9105394448880
Mode of Payment: Online Payment - UPay Assessment No.: RTC396346340
Name of Payor: Ivo Mandantes Reference No.: 447399cb48f64a93aea862433924c9be
Nature of Collection: Filing of Applications, Payment Status: PAID
Motions, or Requests
Collection Type: Clearance and Certification Fee (Sec. 7(n)) with/out Certified Copies (Sec. 7(j))
Case No./Roll/MCLE/Bar MSP No 10836
Examinee No.
Case Title/Particulars: In Re Petition for Issuance of New Owner's Duplicate Copy of TCT No T 29461 in lieu of lost one

Assessment details:

Type of Fund/Nature of Payment Filing Fee Miscellaneous Fee Total Amount

JDF 15.00 3.60 18.60
SAJF 35.00 6.40 41.40
LRF 10.00
GF-BIR 30.00
TOTAL AMOUNT: ₱ 100.00

Payment details:

OR No. Date and Time Amount Paid Running Balance

JEP-24-000720603 Mar 07, 2024 12:43 PM ₱ 100.00 ₱ 0.00
LATEST AMOUNT PAID IN WORDS: ONE HUNDRED AND 00/100**

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NOTE 1: This serves as the Legal Fees Form. Convenience fee or bank charges are not part of the collection of the court.

Payment Confirmed & Verified by:

ATTY. AILEEN ZORRILLA-FEBIAR

Clerk of Court VI

SCP-JEP Version 4.0 Page 1 of 1 Printed on 03/07/2024 - 12:46 PM