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PAx 23 X 0024347637

This receipt summarizes a payment made by Reynaldo Belen Jr. to the Land Transportation Office in Antipolo City, Philippines. The payment of 490.25 Philippine pesos was for changing the venue of his motorcycle registration, delinquent registration fees, motor vehicle user's charge, science research tax, and legal research fee. The receipt provides details of the client, vehicle, and individual fees paid, and confirms the payment is valid for registration renewal until May 2023.

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Jr Belen
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2K views

PAx 23 X 0024347637

This receipt summarizes a payment made by Reynaldo Belen Jr. to the Land Transportation Office in Antipolo City, Philippines. The payment of 490.25 Philippine pesos was for changing the venue of his motorcycle registration, delinquent registration fees, motor vehicle user's charge, science research tax, and legal research fee. The receipt provides details of the client, vehicle, and individual fees paid, and confirms the payment is valid for registration renewal until May 2023.

Uploaded by

Jr Belen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

DEPARTMENT OF TRANSPORTATION
LAND TRANSPORTATION OFFICE
SITIO ANGAO, C.LAWIS EXTENSION, BRGY. SAN
ISIDRO ANTIPOLO CITY

Field Office: ANTIPOLO DISTRICT OFFICE TIN: 000865491061


Office Code: 0489 Date: 01/24/2023 3:23 PM

OFFICIAL RECEIPT 0489-000000138322

RECEIVED FROM (Last Name, First Name Middle Name)


BELEN, REYNALDO JR BERSAMIRA
ADDRESS (No. Street, Barangay, Municipality, Zip Code, Province)
Lot 41 Blk 25 Francs St, San Roque (Pob.), City Of Antipolo,
1870, Rizal
TIN (Tax Identification Number) LTO Client ID / LTO BUSINESS ID
22-990528-8064760

PAYMENT DETAILS BREAKDOWN OF PAYMENT


Transaction No: TX-MVIRS-20230124- Change Venue Fee PHP 100.00
475236
Delinquent Registration PHP 120.00
Plate No: 180105
File No: 180100000204709 MVUC PHP 240.00
Classification: Private Science Tax PHP 13.50
Vehicle Type: Motorcycle without sidecar Science Tax Late PHP 6.75
Motorcycle Registration
Fuel Type: Gas Legal Research Fee PHP 10.00
Aircon Type: N/A
Color: BLACK
Year Model: 2021
This payment is valid until
05/2023 and due for
renewal on 05/22/2023-
05/31/2023.

TOTAL AMOUNT PAID: PHP 490.25


AMOUNT IN WORDS: FOUR HUNDRED NINETY PESOS AND 25/100
CENTAVO(S)

MODE OF PAYMENT: Cash


LOCATION: Antipolo District Office
CASHIER: Flordeliza R. Leonardo
POS MACHINE: ANTIPOLO DO - CASHIER_01

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

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