PAYMENT OF THE FOLLOWINGPARTICULARS AMOUNT

VAT REG.:005-620-180-000

DATE:COLLECTION RECEIPT

Receiived from___________________________ TIN_____________________with Address at __________________________________________________engaged in the business style of :____________________________________the sum of:___________________________________________________________________________________________________(Php______________)in Full/Partial payment of _________________________________________

By:____________________________Amount Due Signature over Printed Name

FORM OF PAYMENTCASHCHECKCHECK NO.:BAMK/BRANCH NO: 09271TOTAL AMOUNT:

Receiived from___________________________ TIN_____________________

engaged in the business style of :____________________________________

By:____________________________Signature over Printed Name

NO: 09271

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