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De Guzman Rice mill De Guzman Rice mill De Guzman Rice mill De Guzman Rice mill De Guzman Rice mill

Cellphone#: 0950-679-3645 Cellphone#: 0950-679-3645 Cellphone#: 0950-679-3645 Cellphone#: 0950-679-3645 Cellphone#: 0950-679-3645
Date: ______________ Date: ______________ Date: ______________ Date: ______________ Date: ______________
Name: _________________ Name: _________________ Name: _________________ Name: _________________ Name: _________________
KILOS: _________________ KILOS: _________________ KILOS: _________________ KILOS: _________________ KILOS: _________________
Amount: _________________ Amount: _________________ Amount: _________________ Amount: _________________ Amount: _________________
Other Charges: ____________ Other Charges: ____________ Other Charges: ____________ Other Charges: ____________ Other Charges: ____________
Total Amount: ________________ Total Amount: ________________ Total Amount: ________________ Total Amount: ________________ Total Amount: ________________
Deduction For Payments: Deduction For Payments: Deduction For Payments: Deduction For Payments: Deduction For Payments:
Bigas: _____________ Bigas: _____________ Bigas: _____________ Bigas: _____________ Bigas: _____________
Ipa: _____________ Ipa: _____________ Ipa: _____________ Ipa: _____________ Ipa: _____________
Total: _____________ Total: _____________ Total: _____________ Total: _____________ Total: _____________
Amount Paid: _________ Amount Paid: _________ Amount Paid: _________ Amount Paid: _________ Amount Paid: _________
Notes:________Signature:__________ Notes:________Signature:__________ Notes:________Signature:__________ Notes:________Signature:__________ Notes:________Signature:__________
De Guzman Rice mill De Guzman Rice mill De Guzman Rice mill De Guzman Rice mill De Guzman Rice mill
Cellphone#: 0950-679-3645 Cellphone#: 0950-679-3645 Cellphone#: 0950-679-3645 Cellphone#: 0950-679-3645 Cellphone#: 0950-679-3645
Date: ______________ Date: ______________ Date: ______________ Date: ______________ Date: ______________
Name: _________________ Name: _________________ Name: _________________ Name: _________________ Name: _________________
KILOS: _________________ KILOS: _________________ KILOS: _________________ KILOS: _________________ KILOS: _________________
Amount: _________________ Amount: _________________ Amount: _________________ Amount: _________________ Amount: _________________
Other Charges: ____________ Other Charges: ____________ Other Charges: ____________ Other Charges: ____________ Other Charges: ____________
Total Amount: ________________ Total Amount: ________________ Total Amount: ________________ Total Amount: ________________ Total Amount: ________________
Deduction For Payments: Deduction For Payments: Deduction For Payments: Deduction For Payments: Deduction For Payments:
Bigas: _____________ Bigas: _____________ Bigas: _____________ Bigas: _____________ Bigas: _____________
Ipa: _____________ Ipa: _____________ Ipa: _____________ Ipa: _____________ Ipa: _____________
Total: _____________ Total: _____________ Total: _____________ Total: _____________ Total: _____________
Amount Paid: _________ Amount Paid: _________ Amount Paid: _________ Amount Paid: _________ Amount Paid: _________
Notes:________Signature:_________ Notes:________Signature:__________ Notes:________Signature:__________ Notes:________Signature:__________ Notes:________Signature:__________
De Guzman Rice mill De Guzman Rice mill De Guzman Rice mill De Guzman Rice mill De Guzman Rice mill
Cellphone#: 0950-679-3645 Cellphone#: 0950-679-3645 Cellphone#: 0950-679-3645 Cellphone#: 0950-679-3645 Cellphone#: 0950-679-3645
Date: ______________ Date: ______________ Date: ______________ Date: ______________ Date: ______________
Name: _________________ Name: _________________ Name: _________________ Name: _________________ Name: _________________
KILOS: _________________ KILOS: _________________ KILOS: _________________ KILOS: _________________ KILOS: _________________
Amount: _________________ Amount: _________________ Amount: _________________ Amount: _________________ Amount: _________________
Other Charges: ____________ Other Charges: ____________ Other Charges: ____________ Other Charges: ____________ Other Charges: ____________
Total Amount: ________________ Total Amount: ________________ Total Amount: ________________ Total Amount: ________________ Total Amount: ________________
Notes:________Signature:__________ Notes:________Signature:__________ Notes:________Signature:__________ Notes:________Signature:__________ Notes:__________Signature:__________

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