We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
Republic of the Philippines
Department of Finance
BUREAU OF TREASURY - AS514
Office of the DistrictIChief Treasury Operations Officer i
Region X - Northen Mindanao
‘Address:
Jo. THE MANAGER ATAP NO___1035-2022-01026_
LAND BANK OF THE PHILIPPINES.
_ILIGAN _
JUIGAN CITY
AUTHORITY TO ACCEPT PAYMENT
FOR DEPOSIT TO SAVINGS ACCOUNT OF THE TREASURER OF THE PHILIPPINES
[PAYING ORGANIZATION ‘AREA CODE 1035
|SANOOR (DADUAN}
PAYING ORGANIZATION CODE __ 103502025 Joxta rreranen 32222072
ADDRESS BARANGAY SANDOR (DADUAN), BALO!, LANAO DEL [BILL NO. (YR-MONTH-MUMBER)
NORTE 8-1035-202212-1026
COMPUTATION OF FIDELITY BOND PREMIUM DUE
“AMOUNT BOND
Fun cope | TRANSACTION CODE
(at 1.5% per annum | P 150.00) ae
es10a344 "4020213000 235,000.00 3,525.00
TOTAL AMOUNT PAVABLE: 3,525.00
TOTAL PAYMENT RECEIVED
BANK MACHINE VALIDATION OF AMOUNT AND DATE ONCOLT PAYMENT SLIP
: Date
LAND BANK OF THE PHILIPPINES
ONCOLL PAYMENT SLIP el { wns hh tw
Please check the appropriate mode of payment.
[om ee ieee
WERCHANT/AGENCY DEPOSIT ACCOUNT NUMBER MERCHANWAGENCY NAME Burton oF the
SHOT ENTS 4) St beebty wend gare treasury
Reference Number 1 Printed Name and Signature of Payor/Depositor/Representative 3
llOOLO%OOOID 5
Reference Number 2
[Jeru3
Reference Number 3 (Numeric)
r2¢ LYN -P_ EBC
+ 14850,
Amount
This is your receipt when machine validated
TTP AL BA Van re we eT
