0354-2024-02090-signed

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Republic of the Philippines

KAGAWARAN NG PANANALAPI
KAWANIHAN NG INGATANG-YAMAN
Funding the Republic (BUREAU OF THE TREASURY)
Office of the District/Chief Treasury Operations Officer II
Region III - Central Luzon
Address
To: MANAGER ATAP NO. 0354-2024-02090
LAND BANK OF THE PHILIPPINES
CANDABA BRANCH PAMPANGA

AUTHORITY TO ACCEPT PAYMENT


FOR DEPOSIT TO SAVINGS ACCOUNT OF THE TREASURER OF THE PHILIPPINES
PAYING ORGANIZATION AREA CODE 0354
SAN NICOLAS

PAYING ORGANIZATION CODE 35419007 DATE PREPARED 11/28/2024


ADDRESS BILL NO. (YR-MONTH-NUMBER)
BRGY. SAN NICOLAS, SANTA ANA B-0354-202411-2090

COMPUTATION OF FIDELITY BOND PREMIUM DUE


AMOUNT BOND
FUND CODE TRANSACTION CODE AMOUNT
(at 1.5% per annum / P 150.00)
03104344 4020219000 1,362,800.00 20,442.00

TOTAL AMOUNT PAYABLE 20,442.00


PREPARED BY: APPROVED BY:

MICHAEL AERONIMO DAPAL LIBUT, EISELE R. BALUYUT


TOA CTOO1 / OIC
Signature Over Signature Over
Printed Name and Position Printed Name and Position
FOR BANK USE ONLY
DETAILS OF PAYMENT
PARTICULARS DRAWEE BANK / NUMBER
CASH P
CHECK
TOTAL PAYMENT RECEIVED P
BANK MACHINE VALIDATION OF AMOUNT AND DATE

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