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Republic of the Philippines

DEPARTMENT OF TRANSPORTATION
LAND TRANSPORTATION OFFICE
J.C. ABADILLA MEMORIAL BLDG. OLD CITY HALL
COMPOUND, B. MORADA AVE. LIPA CITY

Field Office: NEW REGISTRATION UNIT TIN: 000865491061


Office Code: 0401 Date: 01/29/2024 5:31 PM

OFFICIAL RECEIPT 0401-000000138075

RECEIVED FROM (Last Name, First Name Middle Name)


BALANIAN, DICKSON TAYABAN
ADDRESS (No. Street, Barangay, Municipality, Zip Code, Province)
-, Duit, Kiangan, 3604, Ifugao
TIN (Tax Identification Number) LTO Client ID / LTO BUSINESS ID
000-438-596-617 21-861204-0528441

PAYMENT DETAILS BREAKDOWN OF PAYMENT


Transaction No: MAIRD-SAR-20240120- Cost of plate PHP 120.00
259977
MVUC PHP 720.00
Plate No: D231JL Science Tax PHP 40.50
File No: 040124001028908
Classification: Private - (PVT) Transfer Fee PHP 50.00

Vehicle Type: Motorcycle Without Sidecar Legal Research Fee PHP 10.00
Fuel Type: Gas
Aircon Type: N/A
Color: WHITE/BLUE
Year Model: 2024
This payment is valid until
01/2027 and due for
renewal on 01/01/2027-
01/07/2027.

TOTAL AMOUNT PAID: PHP 940.50


AMOUNT IN WORDS: NINE HUNDRED FORTY PESOS AND 50/100
CENTAVO(S)

MODE OF PAYMENT: Union Bank Online


LOCATION: -

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

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