DEPARTMENT OF TRANSPORTATION LAND TRANSPORTATION OFFICE ‘SURE BLDG. SOFTBALL FIELD, TAKTAK ROAD, BRGY. DELA PAZ, ANTIPOLO CITY RIZAL Field Office: CAINTA EXTENSION OFFICE TIN: Office Code: 0488 ee Date be dat eso 0488-000000173314 RECEIVED FROM (Last Name, First Name Middle Name) MORTEGA, JENIL PATROPEZ ADDRESS (No. Street, Barangay, Municipality, Zip Code, Province) Bik 6 Lot 2 One Ynares Vill, San Salvador, Baras, 1970, Rizal ns Mares Vill, San Salvador, Baras, 19 TIN (Tax Identification Number) LTO Client ID / LTO BUSINESS ID 22-930418-7213591 PNG) BREAKDOWN OF PAYMENT Transaction No: TX.-MVIRS-20240111- Delinquent Registration PHP 12000 181433 Plate No: 380PSV we PoP 40.00 File No: 136600000438037 Science Tax Pre 1350 Classification: Private - (PVT) Science Tax Late PHP 67s Vehicle Type: Motorcycle without sidecar — Regstraton Weticle Type: Motorcycle without sidecerRegstton a ieee Fuel Type: Gas Aircon Type: N/A Color: MATTE RED Year Model: 2021 This payment is valid until 10/2024 and due for renewal on 10/15/2024- 10/21/2024. TOTAL AMOUNT PAID: PHP 390.25 AMOUNT IN WORDS: THREE HUNDRED NINETY PESOS AND 25/100 CENTAVO(S) MODE OF PAYMENT Cash LOCATION Cairta Extension Orfice CASHIER, JAMILYN VELASCO POS MACHINE Cainta EO_Cashier This is a system generated Offical Receipt. No Signatures needed INA OM