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SarabiaOptical

Owned&Operatedby:LOSAROPTICS,INC
105PavillionMall,SanAntonio,
Binan,Laguna,4025,Philippines
VATREG.TIN:002725836009

TaxInvoiceNo.: 4211
Date/time: 11/16/1414:28
Cashier: ThereseSamson

SALESTRANSACTION
Description Amount

COMPLETEEYEGLASS 23950.00VAT

TotalPhp 23950.00
Cash 24000.00
Change 50.00

NumberofItem/s: 1

VAT12% 2566.07
VatableAmount: 21383.93

Merchandiseonthisinvoicemaybe
returnedorexchangedwithin14days
fromthepurchasedate.
Allreturnsandexchangemustbe
accompaniedwiththisinvoice.

ThankYou!
SarabiaOptical
Owned&Operatedby:LOSAROPTICS,INC
105PavillionMall,SanAntonio,
Binan,Laguna,4025,Philippines
VATREG.TIN:002725836009

TaxInvoiceNo.: 4211
Date/time: 11/16/1414:28
Cashier: ThereseSamson

SALESTRANSACTION

Description Amount

COMPLETESETEYEGLASS 23950.00VAT

TotalPhp 23950.00

Cash 24000.00

Change 50.00

NumberofItem/s: 1

VAT12% 2566.07

VatableAmount: 21383.93

Merchandiseonthisinvoicemaybe
returnedorexchangedwithin14days
fromthepurchasedate.
Allreturnsandexchangemustbe
accompaniedwiththisinvoice.

ThankYou!
SarabiaOptical
Owned&Operatedby:LOSAROPTICS,INC
105PavillionMall,SanAntonio,
Binan,Laguna,4025,Philippines
VATREG.TIN:002725836009

TaxInvoiceNo.: 4211
Date/time: 11/16/1414:28
Cashier: ThereseSamson

Description Amount

COMPLETESETEYEGLASS 23950.00 VAT

TotalPhp 23950.00
Cash 24000.00
Change 50.00

NumberofItem/s: 1

VAT12% 2566.07
VatableAmount: 21383.93

Merchandiseonthisinvoicemaybe
returnedorexchangedwithin14days
fromthepurchasedate.
Allreturnsandexchangemustbe
accompaniedwiththisinvoice.

ThankYou!
RUBY Q. ALDEA, M.D.
St. James Hospital, Dita, Sta. Rosa, Laguna
NON-VAT Reg. TIN: 903-692-965-002

OFFICIAL RECEIPT No. 3149


In settlement of the following
PARTICULARS Amount RECEIVED from HERNANDEZ, CRISTINA M.
with TIN and Address at
STA. ROSA, LAGUNA
Total Sales engaged in the business style of
Less: SC/PWD Discount , the sum of ONE THOUSAND FIVE HUNDRED
Total Due pesos ( PHP 1,500 ) In partial / full payment for
Less: Witholding Tax
Payment Due Sr. Citizen TIN:

Fom of Payment OSCA/PWD ID No. Signature By: _________________________


Cash Check Cashier / Authorized Representativ

10 Bklts. (50x2) 2751-3250


BIR Authority to Print No. OCN 1AU0001373986 Printer's Accreditation No. 057MP201300000000
Date Issued: 6-25-15 Valid Until: 6-25-20 Date Issued 12/16/13
158 Garcia St. San Vicnte, San Pedro, Laguna
TIN: 252-456-817-000 VAT
Tel. No.: 847-0890
THIS DOCUMENT IS NOT VALID FOR CLAIMING INPUT TAXES
*THIS OFFICIAL RECEIPT SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP"
D.

ISTINA M.
and Address at

FIVE HUNDRED
CONSULTATION FEE

By: __________________________
Cashier / Authorized Representative

Accreditation No. 057MP20130000000009

EARS FROM THE DATE OF ATP"

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