Republic of the Philippines
DEPARTMENT OF TRANSPORTATION
LAND TRANSPORTATION OFFICE
BRGY. STA. CLARA SUR PILA, LAGUNA
Field Office: STA CRUZ DISTRICT OFFICE TIN: 000865491061
Office Code: 0476 Date: 09/02/2022 11:46 AM
OFFICIAL RECEIPT 0476-000000090616
RECEIVED FROM (Last Name, First Name Middle Name)
LARAÑO, JOE MARI HERRADURA
ADDRESS (No. Street, Barangay, Municipality, Zip Code, Province)
25b Ml Quezon St.San Roque, San Roque (Pob.), Victoria, 4011, Laguna
TIN (Tax Identification Number)
505928657000
PAYMENT DETAILS BREAKDOWN OF PAYMENT
Transaction: TX-DLS-20220902-960456 - License Fee PHP 585.00
01
Lic. No: D12-18-007418
Application: RENEWAL, NORMAL
RENEWAL WITH VALID
LICENSE, 10-YEARS
LICENSE RENEWAL
Classification: Driver's License
TOTAL AMOUNT PAID: PHP 585.00
AMOUNT IN WORDS: FIVE HUNDRED EIGHTY-FIVE PESOS
MODE OF PAYMENT: Cash
LOCATION: Sta Cruz District Office
CASHIER: Charmaine Grace V. Manalang
POS MACHINE: STA CRUZ PILA DO - CASHIER
This is a system generated Official Receipt. No Signatures needed.
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