724316E31CFD

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HQP-TMF-191

(V04, 12/2020)
Pag-IBIG Fund

PAYMENT INSTRUCTION FORM (PIF)


______________________
SAN FRANCISCO

Employer ID Number : 201066140007


Payment Instruction Date : November 11, 2024
7243 16E3 1CFD
Payment Instruction Number (PIN)

EMPLOYER/BUSINESS NAME : SUNLITE ELECTRICAL SUPPLIES & GEN MERCHANDISE

ADDRESS AND CONTACT DETAILS


Unit/Room No., Floor Building Name Lot No., Block No. AREA CODE TELEPHONE NUMBER
Business (Direct Line)
Phase No. House No. Street Name
Business (Trunk Line) Local
Subdivision Barangay Municipality
Cell Phone Number
BARANGAY 2 (POB.) SAN FRANCISCO
09463318365
Province Region Zip Code
Business Email Address
AGUSAN DEL SUR REGION 13 (CARAGA) 8501 sunliteelectrical@yahoo.com

PERIOD COVERED
TYPE OF PAYMENT AMOUNT DUE CLIENT PRINT VALIDATION
From To
MEMBER SAVINGS 10 - 2024 10 - 2024 600.00

TOTAL AMOUNT 600.00


Prepared by: Date:
JEAN RAMOS MEDINA
PROPRIETOR
______________________________ 11/11/2024
____________

REMINDERS:
11/11/2024
1. This form is valid from ______________ 12/10/2024
to ______________. If payment to be made is beyond the reflected validity period, this form will not be accepted
by any accredited collecting partner/s.
2. Please remit MS/pay loan obligation on or before the due date to avoid incurring penalties.

Employer ID Number 201066140007


Total Amount Due Php 600.00

PIN: 724316E31CFD TO BE FILLED OUT BY THE PAYOR

SUNLITE ELECTRICAL SUPPLIES & GEN MERCHANDISE Cash Payment


BARANGAY 2 (POB.), SAN FRANCISCO, AGUSAN DEL SUR, 8501 Check Payment
Check No.
Bank/Branch

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