Republic of the Philippines

DEPARTMENT OF TRANSPORTATION
LAND TRANSPORTATION OFFICE
PRATT ST. ZONE 4 BANGED ABRA

Field Office: ABRA DISTRICT OFFICE TIN: 483731906000

Office Code: 1408 Date: 03/22/2022 3:24 PM

OFFICIAL RECEIPT 1408-000000009420

RECEIVED FROM (Last Name, First Name Middle Name

BALENTI, LADY JANNAH S._____________________________________________
ADDRESS (No. Street, Barangay, Municipality, Zip Code, Province
-, TAWAAN, PIAGAPO, 9710, Lanao Del Sur________________________________
TIN (Tax Identification Number) LTO Client ID / LTO BUSINESS ID
330221202 23-980114-0517094 __________________________

PAYMENT DETAIL S BREAKDOWN OF PAYMENT

Transaction: Application Fee PHP

Application: Student-Driver Permit PHP
Fee
Classification:

AMOUNT IN WORDS: TWO THOUSAND ONE HUNDRED TEN PESOS

MODE OF PAYMENT: Cash

LOCATION: Abra District Office

CASHIER: Jaibe Trinidad

POS MACHINE: Bangued DO

This is a system generated Official Receipt. No Signatures needed.