Registration

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Republic of the Philippines

DEPARTMENT OF TRANSPORTATION
LAND TRANSPORTATION OFFICE
308 Canal Road, SBFPZ Olongapo City

Field Office: SBMA NEW REGISTRATION UNIT TIN:


Office Code: 0389 Date: 01/27/2024 1:54 PM

OFFICIAL RECEIPT 0389-000000013683


RECEIVED FROM (Last Name, First Name Middle Name)
RODRIGUEZ, NICOLENE OCA
ADDRESS (No. Street, Barangay, Municipality, Zip Code, Province)
Block 21 Lot 66 Phase 3 Savannah Greenplains, Cuayan,
Angeles City, 2009, Pampanga
TIN (Tax Identification Number) LTO Client ID / LTO BUSINESS ID
23-030412-9889429

PAYMENT DETAILS BREAKDOWN OF PAYMENT


Transaction No: MAIRD-SAR-20240118- Cost of plate PHP 120.00
213450
MVUC PHP 840.00
Plate No: 495WRL Science Tax PHP 48.00
File No: 038924001040300
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: BLACK
Year Model: 2024
This payment is valid until
05/2027 and due for
renewal on 05/22/2027-
05/31/2027.

TOTAL AMOUNT PAID: PHP 1,068.00


AMOUNT IN WORDS: ONE THOUSAND SIXTY-EIGHT PESOS

MODE OF PAYMENT: Mlhuillier


LOCATION: -

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

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