523 YUCHENGCO ST,

BINONDO MANILA
82546050 RETURNED/CHANGED SLIP
CUSTOMER'S COPY
CUSTOMER : DATE :
CONTACT # : SI/DR #: SI/DR DATE :
RETURNED CHANGED
NO. QTY DESCRIPTION PRICE AMOUNT NO. QTY DESCRIPTION PRICE AMOUNT
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
TOTAL AMOUNT : TOTAL AMOUNT :

REASON : REMAINING BALANCE :

APPROVED BY RELEASED BY CUSTOMER'S SIGNATURE

523 YUCHENGCO ST,

BINONDO MANILA
82546050 RETURNED/CHANGED SLIP
ACCOUNTING'S COPY
CUSTOMER : DATE :
CONTACT # : SI/DR #: SI/DR DATE :
RETURNED CHANGED
NO. QTY DESCRIPTION PRICE AMOUNT NO. QTY DESCRIPTION PRICE AMOUNT
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
TOTAL AMOUNT : TOTAL AMOUNT :

REASON : REMAINING BALANCE :

APPROVED BY RELEASED BY CUSTOMER'S SIGNATURE