Amon Insurance Management Services

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AMON INSURANCE MANAGEMENT SERVICES

UG22 Cityland 8, 98 Sen. Gil Puyat Ave., Makati City


BILLING STATEMENT
Limber
limberjacob@yahoo.com
DATEPARTICULARS
QUANTITYAMOUNT
REMITTANCE
BALANCE
####### Balance policy
400/200
Truck
5 2,300.00
plus 60 truck
PC
12 4,800.00
MC
52 10,400.00
TC
12 2,400.00
####### PC(trav)
38 15,200.00
MC(mi)
38 7,600.00
42,700.00
1/4/2013 less:deposit
6,000.00 36,700.00
1/9/2013 less:deposit
8,260.00 28,440.00
1/9/2013 MC LIB
50 10,000.00
38,440.00
####### pc trav
50 20,000.00
58,440.00
####### less:deposit
8,400.00 50,040.00
salary
1,000.00 49,040.00
####### less:deposit
9,660.00 39,380.00
salary
800.00 38,580.00
####### less:deposit
8,020.00 30,560.00
01/25/13 less:deposit
6,100.00 24,460.00
salary
1,000.00 23,460.00
####### mc
25 5,000.00
28,460.00
01/31/13 less:deposit
15,400.00 13,060.00
salary
1,000.00 12,060.00
01/31/13 pvt Dr#1508
25 10,000.00
22,060.00
mc
25 5,000.00
27,060.00
tru
15 3,000.00
30,060.00
02/05/13 less:deposit
9,250.00 20,810.00
rental
jan
1,000.00 19,810.00
broadband(jan)
900.00 18,910.00
salary
800.00 18,110.00
2/5/2013 pc
10 4,000.00
22,110.00
mc
25 5,000.00
27,110.00
tc
25 5,000.00
32,110.00
02/06/13 less:deposit
9,660.00 22,450.00
addt'l truck(jan) 14
840.00
23,290.00
02/11/13 pvt DR#1577
25 10,000.00
33,290.00
mc
25 5,000.00
38,290.00
####### less:deposit
9,500.00 28,790.00
salary
1,000.00 27,790.00
####### mc(lib)
50 10,000.00
37,790.00

####### less:deposit
salary
####### less:deposit
####### PC(trav)
10
tc(trav)
10
####### PC(trav)
15
tc(trav)
10
####### less:deposit
salary
over quotamc12
####### less:deposit
3/5/2013 less:deposit
salary
internet(feb)
rental(feb)
quota
mc26
3/6/2013 PC(trav)
20
mc(trav)
20
tc(mi)
20
3/7/2013 less:deposit
####### PC(trav)
25
MC(mi)
25
####### less:deposit
salary
####### addt'l truck(feb) 12
####### less:deposit
salary
####### less:deposit
salary
internet(march)
rental(march)
####### pc(lib)
25
mc(lib)
25
tc(lib)
10
####### less:deposit
4/4/2013 less:deposit
salary
4/8/2013 PC(trav)
25
mc(trav)
50
tc(lib)
25
####### less:deposit
salary
####### less:deposit
salary
####### PC(trav)
50
####### less:deposit
####### addt'l(truck)/march13

4,000.00
2,000.00
6,000.00
2,000.00

8,000.00
4,000.00
4,000.00
10,000.00
5,000.00

720.00

10,000.00
5,000.00
2,000.00

10,000.00
10,000.00
5,000.00

20,000.00
780.00

7,200.00 30,590.00
1,000.00 29,590.00
6,450.00 23,140.00
27,140.00
29,140.00
35,140.00
37,140.00
5,100.00 32,040.00
1,000.00 31,040.00
240.00 30,800.00
5,000.00 25,800.00
5,700.00 20,100.00
800.00 19,300.00
900.00 18,400.00
1,000.00 17,400.00
520.00 16,880.00 *******9/3/13
24,880.00
28,880.00
32,880.00
5,000.00 27,880.00
37,880.00
42,880.00
7,700.00 35,180.00
1,000.00 34,180.00
34,900.00
6,700.00 28,200.00
1,000.00 27,200.00
5,000.00 22,200.00
500.00 21,700.00
900.00 20,800.00
1,000.00 19,800.00
29,800.00
34,800.00
36,800.00
5,150.00 31,650.00
10,850.00 20,800.00
1,000.00 19,800.00
29,800.00
39,800.00
44,800.00
8,800.00 36,000.00
1,000.00 35,000.00
6,100.00 28,900.00
1,000.00 27,900.00
47,900.00
8,300.00 39,600.00
40,380.00

####### less:deposit
8,000.00 32,380.00
salary
1,000.00 31,380.00
####### less:deposit
4,400.00 26,980.00
####### mc(trav)
50 10,000.00
36,980.00
####### less:deposit
5,000.00 31,980.00
salary
1,000.00 30,980.00
internet(april)
900.00 30,080.00
rental(april)
1,000.00 29,080.00
####### tc(trav)
50 10,000.00
39,080.00
5/2/2013 PC(trav)
50 20,000.00
59,080.00
5/2/2013 less:deposit
5,000.00 54,080.00
salary
1,000.00 53,080.00
5/7/2013 less:deposit
6,000.00 47,080.00
5/9/2013 less:deposit
7,100.00 39,980.00
####### mc(trav)
50 10,000.00
49,980.00
####### less:deposit
6,800.00 43,180.00
salary
1,000.00 42,180.00
####### less:deposit
5,000.00 37,180.00
####### addt'l(truck)/april 21 1,260.00
38,440.00
####### less:deposit
6,900.00 31,540.00
salary
1,000.00 30,540.00
####### PC(trav)
50 20,000.00
50,540.00
####### less:deposit
7,000.00 43,540.00
####### less:deposit
6,100.00 37,440.00
salary
1,000.00 36,440.00
####### mc(trav)
50 10,000.00
46,440.00
####### less:deposit
6,200.00 40,240.00
####### PC(trav)
33 13,200.00
53,440.00
6/3/2013 less:deposit
17,150.00 36,290.00
salary
1,000.00 35,290.00
internet(may)
900.00 34,390.00
over quotamc15
300.00 34,090.00
rental(may)
1,000.00 33,090.00
6/4/2013 mc(trav)
50 10,000.00
43,090.00
6/5/2013 less:deposit
5,000.00 38,090.00
6/6/2013 tc(trav)
50 10,000.00
48,090.00
6/6/2013 less:deposit
8,050.00 40,040.00
salary
1,000.00 39,040.00
####### PC(trav)
50 20,000.00
59,040.00
####### addt'l truck(may) 20 1,200.00
60,240.00
####### less:deposit
11,500.00 48,740.00
####### less cancelled
pc(4)/mc/tc(12)
4,000.00 44,740.00
####### less deposit
5,950.00 38,790.00
####### mc(trav)
50 10,000.00
48,790.00
####### less:deposit
5,050.00 43,740.00
####### less:deposit
5,160.00 38,580.00
salary
1,000.00 37,580.00

####### less:deposit
5,120.00 32,460.00
####### less deposit
6,000.00 26,460.00
salary
1,000.00 25,460.00
internet(june)
900.00 24,560.00
rental(june)
1,000.00 23,560.00
7/1/2013 PC(trav)
50 20,000.00
43,560.00
7/2/2013 less:deposit
9,500.00 34,060.00
7/4/2013 mc(trav)
50 10,000.00
44,060.00
7/4/2013 less:deposit
7,540.00 36,520.00
7/8/2013 less:deposit
6,500.00 30,020.00
salary
1,000.00 29,020.00
7/9/2013 PC(trav)
50 20,000.00
49,020.00
mc(trav)
50 10,000.00
59,020.00
7/9/2013 less:deposit
6,600.00 52,420.00
####### less:deposit
6,400.00 46,020.00
####### less deposit
5,300.00 40,720.00
####### less:deposit
5,000.00 35,720.00
salary
1,000.00 34,720.00
####### PC(trav)
50 20,000.00
54,720.00
mc(trav)
50 10,000.00
64,720.00
tc(trav)
50 10,000.00
74,720.00
####### addt'l truck(june) 16
960.00
75,680.00
####### less:deposit
7,550.00 68,130.00
####### less:deposit
6,800.00 61,330.00
salary
1,000.00 60,330.00
####### less:deposit
5,450.00 54,880.00
####### less deposit
7,400.00 47,480.00
salary
1,000.00 46,480.00
internet(july)
900.00 45,580.00
rental(july)
2,000.00 43,580.00
8/1/2013 mc(trav)
50 10,000.00
53,580.00
8/2/2013 less deposit
6,050.00 47,530.00
8/6/2013 pc(trav)
50 20,000.00
67,530.00
8/6/2013 less:deposit
9,450.00 58,080.00
salary
1,000.00 57,080.00
8/7/2013 mc(trav)
50 10,000.00
67,080.00
####### addt'l(july)
18 1,080.00
68,160.00
####### less:deposit
16,300.00 51,860.00
salary
800.00 51,060.00
####### PC(trav)
50 20,000.00
71,060.00
mc(trav)
50 10,000.00
81,060.00
####### less:deposit
7,000.00 74,060.00
####### less:deposit
17,800.00 56,260.00
salary
8/12-16/13
800.00 55,460.00
salary
8/19-23/13
800.00 54,660.00
####### less:deposit
7,200.00 47,460.00
####### less:deposit
10,000.00 37,460.00

2458

9/2/2013
9/3/2013
9/4/2013
9/4/2013
9/9/2013
#######
#######
#######
#######
#######
#######
#######
#######
#######

#######
#######
#######
#######
#######
#######

salary
8/26-30/13
rental(august)
internet(august)
less:deposit
PC(trav)
50 20,000.00
mc(trav)
50 10,000.00
tc(trav)
50 10,000.00
less:deposit
less:deposit
salary
9/2-6/13
PC(trav)
50 20,000.00
mc(trav)
50 10,000.00
less deposit
less:deposit
less:deposit
salary
addt'l truck (august)
15
900.00
less
mc(trav)
50 10,000.00
PC(trav)
50 20,000.00
less
salary
less
internet(september)
rental(september)
less
mc(trav)
50 10,000.00
PC(trav)
50 20,000.00
less check
less
less
salary
mc(trav)
50 10,000.00
PC(trav)
50 20,000.00
tc(trav)
50 10,000.00

Prepared by:
N.Esller
Noted by:
Elena E. Amon

800.00
2,000.00
900.00
9,200.00

7,500.00
15,000.00
1,000.00

10,500.00
9,750.00
8,700.00
1,000.00
5,590.00

9,950.00
1,000.00
6,500.00
900.00
2,000.00
14,600.00

1,450.00
6,500.00
16,500.00
1,000.00

36,660.00
34,660.00
33,760.00
24,560.00
44,560.00
54,560.00
64,560.00
57,060.00
42,060.00
41,060.00
61,060.00
71,060.00
60,560.00
50,810.00
42,110.00
41,110.00
42,010.00
36,420.00
46,420.00
66,420.00
56,470.00
55,470.00
48,970.00
48,070.00
46,070.00
31,470.00
41,470.00
61,470.00
60,020.00
53,520.00
37,020.00
36,020.00
46,020.00
66,020.00
76,020.00

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