ASSOCIATION OF PETROCHEMICAL MANUFACTURETS OF THE PHILIPPINES, INC.

Unit 1405 Cityland 10, Tower 1, Dela Costa St., Salcedo Village, Makati City
NON-VAT REG. TIN 202-798-536-000

STATEMENT OF ACCOUNT No. SOAxxxxx

NAME: ______________________________________________________________ DATE: ________________________
ADDRESS: ______________________________________________________________ TIN: ________________________
BUS. STYLE: ______________________________________________________________

PARTICULARS AMOUNT

TOTAL AMOUNT DUE

AMOUNT IN WORDS

Prepared By: Noted By: Approved By:

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