Region VII-Municipal Trial Court in Cities JEP-24-000995118

LAPU-LAPU CITY, Cebu

Date and Time Paid: Jul 12, 2024 11:23 AM Transaction No.: v7c4u3xCz7Xr
Date and Time Posted: Jul 12, 2024 11:23 AM Confirmation No.: 163147832948
Mode of Payment: Online Payment - UPay Assessment No.: MTCC089710162
Name of Payor: Rosita Moore Reference No.: 2d6aa17d03ee4826ac5f4810e3b41f76
Nature of Collection: Filing of Applications, Payment Status: PAID
Motions, or Requests
Collection Type: Clearance and Certification Fee (Sec. 8(o)) with/out Certified Copies (Sec. 8(k))
Case No./Roll/MCLE/Bar N/A
Examinee No.
Case Title/Particulars: CERTIFICATION OF NO PENDING CASE FOR LOT NO. 1760;

Assessment details:

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

JDF 38.40 38.40
SAJF 161.60 161.60
LRF 10.00
GF-BIR 120.00
TOTAL AMOUNT: ₱ 330.00

Payment details:

OR No. Date and Time Amount Paid Running Balance

JEP-24-000995118 Jul 12, 2024 11:23 AM ₱ 330.00 ₱ 0.00
LATEST AMOUNT PAID IN WORDS: THREE HUNDRED THIRTY 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:

CHRISTIAN DINO W.S. DAÑO

Acting Clerk of Court/Accountable Officer

SCP-JEP Version 4.0 Page 1 of 1 Printed on 07/12/2024 - 11:23 AM