Plate No: LAM1760: Official Receipt

Republic of the Philippines

DEPARTMENT OF TRANSPORTATION

LAND TRANSPORTATION OFFICE QUIMPO BOULEVARD DAVAO CITY

Field Office:

NEW MV REGISTRATION UNIT

TIN:

Office Code:

1101

Date:

OFFICIAL RECEIPT

09/06/2023 10:41 AM

1101-000000001770

RECEIVED FROM (Last Name, First Name Middle Name)

OLLOSA, FREDDIE CATBAGAN ADDRESS (No. Street, Barangay, Municipality, Zip Code, Province)

Purok San Jose Brgy San Pablo, San Pablo, City Of Tacurong, 9800, Sultan Kudarat TIN (Tax Identification Number)

LTO Client ID / LTO BUSINESS ID

22-790615-0439215 PAYMENT DETAILS Transaction No:

BREAKDOWN OF PAYMENT

MAIRD-SAR-20230902708088

Cost of plate

PHP

450.00

MVUC

PHP

5,200.00

110123000294975

Transfer Fee

PHP

50.00

Classification:

Private - (PVT)

Legal Research Fee

PHP

10.00

Vehicle Type:

Passenger Car SEDAN

Plate No: LAM1760 File No:

Fuel Type: Aircon Type:

Gas R134a

Color:

BLUE

Year Model:

2024 This payment is valid until 10/2026 and due for renewal on 10/08/202610/14/2026.

PHP

TOTAL AMOUNT PAID: AMOUNT IN WORDS:

5,710.00

FIVE THOUSAND SEVEN HUNDRED TEN PESOS

MODE OF PAYMENT:

Union Bank Online

LOCATION:

-

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

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