BIR Form No.

Republika ng Pilipinas Certificate of Creditable

Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Tax Withheld At Source 2307
September 2005 (ENCS)

1 For the Period

From
07 01 18 (MM/DD/YY) To
09 3 18 (MM/DD/YY)
Part I Payee Information 0
2 Taxpayer
Identification Number 153 478 489 0000
3 Payee's Name

4 Registered Address
LIBERATO,(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
JOCELYN ALDANA 4A Zip Code

5 Foreign Address Rosales, Pangasinan 5A Zip Code

6 Taxpayer
Identification Number
7 Payor's Name
000 553 164 206
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address DPWH, 3rd Pangasinan Engineering District 8A Zip Code

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
Tumana, Rosales,
ATC Pangasinan 2441
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 21,142.17 20,968.08 21,026.82 63,137.07 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Business Tax (Government & Private)

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:

JOCELYN A. LIBERATO
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
 BI R Form No.
Certificate of Creditable Tax
2307
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rent as I nternas
Withheld At Source Sept ember 2005 (E NCS)

1 For the Period

From
07 01 18 (MM/DD/YY) To
09 3 18 (MM/DD/YY)
0
Part I Payee Information
2 Taxpayer
Identification Number
317 159 378 0000

3 Payee's Name G UIL LERMO , JANM AE ASHL EY DEN ISE RAM OS

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
Rosales, Pa ngasina n
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number 000 553 164 206

7 Payor's Name DPWH, 3rd Pangasinan E ngineering D istrict

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pa ngasina n 244 1

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 22,513.90 26,037.59 24,082.77 72,634.26 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Busi ness Tax ( Gov er nm en t & Pr iv ate )

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:

JANMAE ASHLEY DENISE R. GUILLERMO

Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
NOTE: FOR BIR FORM NO. 0217 PURPOSES ONLY

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)
 BI R Form No.
Republika ng Pilipinas Certificate of Creditable Tax
Kagawaran ng Pananalapi
Kawanihan ng Rent as I nternas
Withheld At Source 2307
Sept ember 2005 (E NCS)
1 For the Period
07 01 18 09 3 18
From (MM/DD/YY) To (MM/DD/YY)
Part I Payee Information
0
2 Taxpayer
Identification Number
414 843 383 0000

3 Payee's Name G UAT LO, JE AN PA ULO DAYA O

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
Rosales, Pa ngasina n
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number 000 553 164 206

7 Payor's Name DPWH, 3rd Pangasinan E ngineering D istrict

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pa ngasina n 244 1

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 24,519.05 23,921.28 22,700.56 71,140.89 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Business Tax (Go ve rn me nt & Pr ivat e)

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:
JEAN PAULO D. GUATLO
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
NOTE: FOR BIR FORM NO. 0217 PURPOSES ONLY

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)
 BIR Form No.
Certificate of Creditable
2307
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rent as I nternas
Tax Withheld At Source S eptember 2005 (ENCS )

1 For the Period

From
07 01 18 (MM/DD/YY) To
09 3 18 (MM/DD/YY)
Part I Payee Information
0
2 Taxpayer
Identification Number
496 957 328 0000

3 Payee's Name VE LASCO, SILVE R L ADIA

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
Rosales, Pa ngasina n
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number 000 553 164 206
DPWH, 3rd Pangasinan E ngine ering District
7 Payor's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pa ngasina n 244 1

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 23,541.64 23,264.79 21,060.37 67,866.80 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Busi ness Tax ( Gov er nm en t & Pr iv ate )

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:
SILVER L. VELASCO
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
NOTE: FOR BIR FORM NO. 0217 PURPOSES ONLY

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)
 BIR Form No.
Certificate of Creditable
2307
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Tax Withheld At Source September 2005 (ENCS)

1 For the Period

From
07 01 18 (MM/DD/YY) To
09 3 18 (MM/DD/YY)
Part I Payee Information
0
2 Taxpayer
Identification Number 470 438 303 0000

3 Payee's Name ORTIZ, CARREN HAZEL MENDOZA

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
Rosales, Pangasinan
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number 000 553 164 206
DPWH, 3rd Pangasinan Engineering District
7 Payor's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pangasinan 2441

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 22,578.92 20,103.95 21,223.97 63,906.84 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Business Tax (Government & Private)

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:

CARREN HAZEL M. ORTIZ

Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
 BI R Form No.
Certificate of Creditable
2307
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rent as I nternas
Tax Withheld At Source S eptember 2005 (ENCS )

1 For the Period

07 01 18 09 3 18
From (MM/DD/YY) To (MM/DD/YY)
Part I Payee Information
0
2 Taxpayer
Identification Number 446 540 162 0000

3 Payee's Name JA MANDRE , ALFRE DO QUIMO

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
Rosales, Pa ngasina n
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number
000 553 164 206
DPWH, 3rd Pangasinan Engineering District
7 Payor's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pa ngasina n 244 1

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 21,561.66 26,113.10 24,082.77 71,757.53 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Business Tax (Go ve rn me nt & Pr ivat e)

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

Conforme:

ALFREDO Q. JAMANDRE
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
NOTE: FOR BIR FORM NO. 0217 PURPOSES ONLY

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)
 BI R Form No.

Certificate of Creditable
Republika ng Pi lipinas
Kagawaran ng Pananalapi
K awa nihan ng Rentas I nternas
Tax Withheld At Source 2307
September 2005 (ENCS)

1 For the Period

07 01 18 09 3 18
From (MM/DD/YY) To (MM/DD/YY)
Part I Payee Information
0
2 Taxpayer
Identification Number
177 196 319 0000

3 Payee's Name MIRA NDA, MAN UEL M ANZA NO

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
Rosales, Pangasinan
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number 000 553 164 206
D PWH , 3rd Pangasinan E ngine ering District
7 Payor's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pangasinan 24 41

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 26,176.02 26,176.02 24,162.48 76,514.52 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Business Tax (Go ve rn m en t & Pr iva te)

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:

MANUEL M. MIRANDA
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
NOTE: FOR BIR FORM NO. 0217 PURPOSES ONLY

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)
BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)
BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)
BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)
BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)

BI R Form No.

2307
S eptember 2005 (ENCS)
BI R Form No.

2307
S eptember 2005 (ENCS)
 BIR Form No.

Certificate of Creditable
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rent as I nternas
Tax Withheld At Source
2307
Sept ember 2005 (E NCS)

1 For the Period

07 01 18 09 3 18
From (MM/DD/YY) To (MM/DD/YY)
Part I Payee Information
0
2 Taxpayer
Identification Number 450 610 245 0000

3 Payee's Name FLORES, A IME R JOH N BA LAGTAS

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
Rosales, Pa ngasina n
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number
000 553 164 206
DPWH, 3rd Pangasinan Engineering District
7 Payor's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pa ngasina n 244 1

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 26,083.73 25,838.33 24,162.48 76,084.54 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Business Tax (Go ve rn me nt & Pr ivat e)

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

Conforme:
AIMER JOHN B. FLORES
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
NOTE: FOR BIR FORM NO. 0217 PURPOSES ONLY

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)
 BI R Form No.
Certificate of Creditable
2307
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rent as I nternas
Tax Withheld At Source S eptember 2005 (ENCS )

1 For the Period

07 01 18 09 3 18
From (MM/DD/YY) To (MM/DD/YY)
Part I Payee Information
0
2 Taxpayer
Identification Number
447 371 068 0000

3 Payee's Name MAGN O, GE RSAM SARMIENT O

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
Rosales, Pa ngasina n
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number
000 553 164 206
DPWH, 3rd Pangasinan Engineering District
7 Payor's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pa ngasina n 244 1

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 23,103.27 24,124.73 22,100.70 69,328.70 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Business Tax (Go ve rn me nt & Pr ivat e)

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

Conforme:
GERSAM S. MAGNO
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
NOTE: FOR BIR FORM NO. 0217 PURPOSES ONLY

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)
 BIR Form No.
Certificate of Creditable
2307
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Tax Withheld At Source September 2005 (ENCS)

1 For the Period

From
07 01 18 (MM/DD/YY) To
09 3 18 (MM/DD/YY)
Part I Payee Information
0
2 Taxpayer
Identification Number 480 762 355 0000

3 Payee's Name DAET, ELAINE ILDEFONSO

4 Registered Address 4A Zip Code

Rosales, Pangasinan
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number 000 553 164 206
DPWH, 3rd Pangasinan Engineering District
7 Payor's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pangasinan 2441

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 22,018.90 21,991.63 23,069.72 67,080.25 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Business Tax (Government & Private)

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:

ELAINE I. DAET
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
 BIR Form No.

Certificate of Creditable
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rent as I nternas
Tax Withheld At Source
2307
S eptember 2005 (ENCS )

1 For the Period

07 01 18 09 3 18
From (MM/DD/YY) To (MM/DD/YY)
0
Part I Payee Information
2 Taxpayer
Identification Number 494 393 226 0000

3 Payee's Name CHIL AM, CIAN NE LYNNE MARIRO

4 Registered Address 4A Zip Code

Rosales, Pa ngasina n
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number
000 553 164 287
DPWH, 3rd Pangasinan Engineering District
7 Payor's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pa ngasina n 244 1

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 22,148.94 18,121.86 19,128.63 59,399.43 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Business Tax (Go ve rn me nt & Pr ivat e)

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:

CIANNE LYNNE M. CHILAM

Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)
 BIR Form No.
Certificate of Creditable
2307
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rent as I nternas
Tax Withheld At Source S eptember 2005 (ENCS)

1 For the Period

07 01 18 09 3 18
From (MM/DD/YY) To (MM/DD/YY)
Part I Payee Information
0
2 Taxpayer
Identification Number 479 756 564 0000

3 Payee's Name EST EBAN, JOEL G AYL E TAN

4 Registered Address 4A Zip Code

Rosales, Pangasinan
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number
000 553 164 206
DPWH, 3rd Pangasinan Engineering District
7 Payor's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pa ngasina n 244 1

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 21,828.04 22,815.93 21,901.44 66,545.41 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Busi ness Tax ( Gov er nm en t & Pr iv ate )

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

Conforme:
JOEL GAYLE T. ESTEBAN
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
NOTE: FOR BIR FORM NO. 0217 PURPOSES ONLY

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)
 BIR Form No.
Certificate of Creditable
2307
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rent as I nternas
Tax Withheld At Source S eptember 2005 (ENCS)

1 For the Period

07 01 18 09 3 18
From (MM/DD/YY) To (MM/DD/YY)
0
Part I Payee Information
2 Taxpayer
Identification Number 450 311 940 0000

3 Payee's Name BOADO , JUL IE ANNE VILL AR

4 Registered Address 4A Zip Code

Rosales, Pangasinan
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number
000 553 164 206
DPWH, 3rd Pangasinan Engineering District
7 Payor's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pa ngasina n 244 1

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 21,888.86 23,046.64 22,075.53 67,011.03 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Busi ness Tax ( Gov er nm en t & Pr iv ate )

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:

JULIE ANNE V. BOADO

Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
NOTE: FOR BIR FORM NO. 0217 PURPOSES ONLY

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)
 BIR Form No.

Certificate of Creditable
2307
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rent as I nternas
Tax Withheld At Source S eptember 2005 (ENCS)

1 For the Period

07 01 18 09 3 18
From (MM/DD/YY) To (MM/DD/YY)
Part I Payee Information
0
2 Taxpayer
Identification Number 486 801 659 0000

3 Payee's Name TA N SENG, MICHEL LE ROBERTO

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
Rosales, Pa ngasina n
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number
000 553 164 206

7 Payor's Name DPWH, 3rd Pangasinan Engineering District

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pa ngasina n 244 1

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 17,947.77 18,941.96 19,896.29 56,786.02 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Busi ness Tax ( Gov er nm en t & Pr iv ate )

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:

MICHELLE R. TAN SENG

Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
NOTE: FOR BIR FORM NO. 0217 PURPOSES ONLY

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)
 BIR Form No.

Certificate of Creditable
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rent as I nternas
Tax Withheld At Source
2307
S eptember 2005 (ENCS)

1 For the Period

07 01 18 09 3 18
From (MM/DD/YY) To (MM/DD/YY)
0
Part I Payee Information
2 Taxpayer
Identification Number 480 834 663 0000

3 Payee's Name AMAN SEC, SE RGIUS PAULO PASCUA

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
Rosales, Pa ngasina n
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number
000 553 164 206

7 Payor's Name
DPWH, 3rd Pangasinan Engineering District
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pa ngasina n 244 1

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 21,108.61 20,045.21 21,853.20 63,007.02 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Busi ness Tax ( Gov er nm en t & Pr iv ate )

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:

SERGIUS PAULO P. PASCUA

Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)
 BI R Form No.
Certificate of Creditable
2307
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rent as I nternas
Tax Withheld At Source S eptember 2005 (ENCS)

1 For the Period

07 01 18 09 3 18
From (MM/DD/YY) To (MM/DD/YY)
Part I Payee Information
0
2 Taxpayer
Identification Number
488 638 121 0000

3 Payee's Name SOLIVEN, JOHN E LME R ASPIRA S

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
Rosales, Pa ngasina n
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number
000 553 164 206

7 Payor's Name DPWH, 3rd Pangasinan Engineering District

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pa ngasina n 244 1

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 23,155.71 21,142.17 20,049.41 64,347.29 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Business Tax (Go ve rn me nt & Pr ivat e)

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

Conforme:
JOHN ELMER A. SOLIVEN
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)
 BIR Form No.
Certificate of Creditable
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rent as I nternas
Tax Withheld At Source
2307
September 2005 (ENCS)

1 For the Period

From
12 01 17 (MM/DD/YY) To
12 3 17 (MM/DD/YY)
1
Part I Payee Information
2 Taxpayer
Identification Number
442 354 984 0000

3 Payee's Name A BRE NICA, ERIC ORDON O

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
Rosales, Pa ngasina n
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number 000 553 164 206

7 Payor's Name
DPWH, 3rd Panga sinan Engineering District
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
T umana, Rosales, Pangasinan 2 441

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 1,971.23
offices on their purchase
of goods and services

Total ### 1,971.23

Money Payments Subject to Withholding
of Business Tax (Go ve rn me nt & Pr ivat e)

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:

ERIC O. ABRENICA
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )
B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )
B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )
B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )
B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )

B IR Form No.

2307
Sept ember 2005 (E NCS )
B IR Form No.

2307
Sept ember 2005 (E NCS )
 BI R Form No.
Certificate of Creditable
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rent as I nternas
Tax Withheld At Source
2307
S eptember 2005 (ENCS)

1 For the Period

From
07 01 18 (MM/DD/YY) To
09 3 18 (MM/DD/YY)
0
Part I Payee Information
2 Taxpayer
Identification Number
442 354 984 0000

3 Payee's Name ABRE NICA, ERIC ORDO NO

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
Rosales, Pa ngasina n
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number 000 553 164 206

7 Payor's Name
DPWH, 3rd Pangasinan Engineering District
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pa ngasina n 244 1

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 21,142.17 23,998.88 22,035.67 67,176.72 49,820.41
offices on their purchase
of goods and services

Total ### 49,820.41

Money Payments Subject to Withholding
of Business Tax (Go ve rn me nt & Pr ivat e)

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:

ERIC O. ABRENICA
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)
 BIR Form No.

Certificate of Creditable
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Tax Withheld At Source
2307
September 2005 (ENCS)

1 For the Period

From
07 01 18 (MM/DD/YY) To
09 3 18 (MM/DD/YY)
Part I Payee Information
0
2 Taxpayer
Identification Number 454 494 174 0000

3 Payee's Name ESTEBAN, JUMAR SERMONIA

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
Rosales, Pangasinan
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number 000 553 164 206
DPWH, 3rd Pangasinan Engineering District
7 Payor's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pangasinan 2441

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 18,016.99 20,850.63 19,027.95 57,895.57 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Business Tax (Government & Private)

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:
JUMAR S. ESTEBAN
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
 BI R Form No.
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rent as I nternas
Certificate of Creditable
Tax Withheld At Source
2307
Sept ember 2005 (E NCS)

1 For the Period

07 01 18 09 3 18
From (MM/DD/YY) To (MM/DD/YY)
Part I Payee Information
0
2 Taxpayer
Identification Number 407 118 966 0000

3 Payee's Name AYSON , CAROL ANN GO NZAL ES

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
Rosales, Pa ngasina n
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number
000 553 164 206
DPWH, 3rd Pangasinan Engineering District
7 Payor's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pa ngasina n 244 1

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 16,873.88 17,918.41 11,863.10 46,655.39 435.87
offices on their purchase
of goods and services

Total ### 435.87

Money Payments Subject to Withholding
of Business Tax (Go ve rn me nt & Pr ivat e)

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

Conforme:

CAROL ANN G. AYSON

Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
NOTE: FOR BIR FORM NO. 0217 PURPOSES ONLY

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)
 BI R Form No.
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rent as I nternas
Certificate of Creditable
Tax Withheld At Source
2307
Sept ember 2005 (E NCS)

1 For the Period

07 01 18 09 3 18
From (MM/DD/YY) To (MM/DD/YY)
0
Part I Payee Information
2 Taxpayer
Identification Number 424 761 273 0000

3 Payee's Name TA ACA, RE Y JOHN D ELA CRUZ

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
Rosales, Pa ngasina n
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number
000 553 164 206
DPWH, 3rd Pangasinan Engineering District
7 Payor's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pa ngasina n 244 1

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 20,963.67 23,983.98 22,897.41 67,845.06 290.58
offices on their purchase
of goods and services

Total ### 290.58

Money Payments Subject to Withholding
of Business Tax (Go ve rn me nt & Pr ivat e)

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

Conforme:
REY JOHN D. TAACA
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)

BIR Form No.

2307
September 2005 (ENCS)
BIR Form No.

2307
September 2005 (ENCS)
 BI R Form No.
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rent as I nternas
Certificate of Creditable
Tax Withheld At Source
2307
Sept ember 2005 (E NCS)

1 For the Period

07 01 18 09 3 18
From (MM/DD/YY) To (MM/DD/YY)
0
Part I Payee Information
2 Taxpayer
Identification Number 924 414 939 0000

3 Payee's Name GOME Z, EUGE NE NA CPIL

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
Rosales, Pa ngasina n
5 Foreign Address 5A Zip Code

6 Taxpayer
Identification Number
000 553 164 206
DPWH, 3rd Pangasinan Engineering District
7 Payor's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
Tumana, Rosales, Pa ngasina n 244 1

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by gov't. WI010 21,100.17 22,041.84 21,142.17 64,284.18 290.58
offices on their purchase
of goods and services

Total ### 290.58

Money Payments Subject to Withholding
of Business Tax (Go ve rn me nt & Pr ivat e)

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is
true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

RIZZA G. FERNANDEZ Accountant III

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:

EUGENE N. GOMEZ
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

BIR Form No.

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