Philippine Airlines

Owned and Operated by

Philippine Airlines, Inc.
Web Sales
PNB Financial Center, Pres. Diosdado
Macapagal Ave., CCP Complex, Pasay
City, 1300
VAT REG TIN 000-597-645-000

OR No. E-000-000000005764643
Date: December 28, 2016
Received From: LAMERA/KEITH ROY
GERVERO MR
TIN:
Address:
Business Style:
_______________________________________________________________________________________________________________

DESCRIPTION QTY AMOUNT TOTAL

0792170652125 Pax Sales DPSC/IPSC V
1 11.10 11.10
0792170652125 Pax Sales Z
1 800.00 800.00
_______________________________________________________________________________________________________________

TOTAL USD 811.10

AMOUNT RECEIVED IN WORDS: EIGHT

HUNDRED ELEVEN AND 10/100 US
DOLLAR

FORM OF PAYMENT**
Visa DDDBKX 811.10
__________________________________________________________________________________________________________________

TAX INFORMATION
VAT Sales 9.77
VAT (12%) 1.33
Zero-Rated 800.00
VAT Exempt 0.00
Non-Income 0.00
Total Sales 811.10
_______________________________________________________________________________________________________________

RECEIVED BY: Agent, Number One

DATE & TIME: December 30, 2016 06:00 PM
_______________________________________________________________________________________________________________

**Payment other than Cash shall be

recognized only upon actual receipt of
the amount paid.

DPSC/IPSC breakdown in PHP:

Vatable Sale 448.21
Aviation Security Fee (ASF) 60.00
VAT 41.79
THIS SERVES AS YOUR OFFICIAL RECEIPT

THANK YOU

Visit www.philippineairlines.com
BIR PERMIT NUMBER 0712-116-00209-
CBA/AR dated July 31, 2012