Republc of the Phiippines
DEPARTMENT OF TRANSPORTATION
LAND TRANSPORTATION OFFICE
NATIONAL HIGHWAY KABACAN, NORTH COTABATO
Fleld Offce KABACAN DISTRICT OFFICE TIN 000865491063
oflce Code: 1218 Date: 10/17/2023 1:44 PM
O
OFFICIAL RECEIPT 1218-000000122385
RECEVED FROM (Last Name, Frst Name Midle Name)
ADDRESS (No. Street, Barangay, Municipaity, Zip Code, Prpvince)
TIN (Tax ldentification Number)
LTO Client ID/LTO BUSINESS ID
22-960927-5060345
PAYMENT DETAILS BREAKDoWN OF PAYMENT
Transaction No: TX-MVIRS-2023101 Delinquant FRegistration PHP 120.00
749530
Platee No:
No:
MVUC 240.00
s9030 Science
Classification: Private-(PVT) Sdence Tax Late 525
Vehicle Type: Motorcycle without sidecarh F PHP 10.00
Fuel Type: Gas
AUTHORIZATION
.KED
Aircon Type: NA
I-k4ep
WHITE
Model tsis to auhr he use of
Thls payment is valid untiffprovsed PL. UMBER
08/2024 arand dufor auiherib isvalid untilmolabily a
OB31/2024
TOTAL AMOUNT PAID: PHP
AMOUNT IN WORDs: THREE HUNDRED EIGHTY-FIVE PESOS AND 75/1
CENTAVO(s)
MODE OF PAYMENT: Cash
LOCATON:
POS MACHNE KABACAN DO CASHER
Thia is a system generated Oficial Recept, No Sgnatures