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Official Receipt 2 Types Removed

This official receipt from the Republic of the Philippines acknowledges receipt of payment from a payor for an unspecified amount. It was issued by a collecting officer and includes the date, agency, fund, nature of collection, amount received in both numbers and words, and form of payment (cash or check). It serves as documentation settling an invoice or account.

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83% found this document useful (6 votes)
17K views

Official Receipt 2 Types Removed

This official receipt from the Republic of the Philippines acknowledges receipt of payment from a payor for an unspecified amount. It was issued by a collecting officer and includes the date, agency, fund, nature of collection, amount received in both numbers and words, and form of payment (cash or check). It serves as documentation settling an invoice or account.

Uploaded by

bktsuna0201
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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OFFICIAL RECEIPT

Republic of the Philippines

Accountable Form No. 51


Revised January,1992 ORIGINAL

DATE
NO. A

AGENCY FUND

PAYOR

ACCOUNT
NATURE OF COLLECTION AMOUNT
CODE

TOTAL ₱

AMOUNT IN WORDS

Drawee Number Date


Cash
Bank
Check
Money Order

Received the amount stated above

______________________________
COLLECTING OFFICER
Note: Write the number and date of this receipt at the back of check or money order received.
In settlement of the following:
Invoice No. Amount BICOL INTERCITY TRANSPORT COOPERATIVE (BITCOOP)
Regidor St., Maroroy, Daraga, Albay 4501
Non-VAT Reg. TIN: 739-794-600-000

Total Sales OFFICIAL RECEIPT


Less: SC/PWD Discount Date: _____________
Total Due Received from _____________________________________________
Less: Withholding Tax
with TIN _____________________________________________________
Payment Due
and address at ________________________________________________
engaged in the business style of __________________________________
the sum of ___________________________________________________

Form of Payment _______________________________________________________ pesos


Check Cash (P___________) in partial/full payment of account ___________________
Check No Date
Bank Branch
____________________________________________________________
100 Bklts. (50x3) SN: 3,751 – 8,750
Sr.Citizen TIN:
BIR Authority to Print No. 1AU0002292740 By: _____________________________
OSCA/PWDIDNo.: Signature: Cashier/Authorized Representative
Date Issued: 02-13-2021
Valid Until: 02-13-2026
Brgy. 16 Benjamin Imperial St,
Legazpi City, Albay
TIN: 175-847-906-000

Printer’s Accreditation No. 057MP20190000000021 “ This document is not valid for claiming input tax.”
Date Issued: 07-18-2019 THIS OFFICIAL RECEIPT SHALL BE VALID FOR FIVE(5) YEARS FROM THE DATE OF ATP

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