PIONEER INSURANCE & SURETY CORPORATION

Pioneer House Makati, 108 Paseo de Roxas, Legaspi Village

Makati City 1229, Philippines
Tel: +63 2 8812 7777 Fax: +63 2 8817 1461 www.pioneer.com.ph
VAT Reg. TIN: 000-541-177-00000 Business Style: 65120 NON-LIFE INSURANCE

RECEIVED FROM : ARMAN AGUILLON CORPORAL OFFICIAL RECEIPT NO.

ADDRESS : PUROK 20 CALACHUCHI STREET BRGY 76A RIHO-014366
BUCANA 11-MAR-2020
DAVAO CITY

TIN : BUSINESS STYLE :

RECEIVED THE SUM OF
*** FIVE HUNDRED TWENTY PESOS ONLY *** PHP 520.00

IN PAYMENT OF PREMIUM VAT OTHERS AMOUNT

AH20000311014
Policy No: AH-IR-HO-20-0002430-00-D 313.11 0.00 206.89 520.00

PAYMENT BREAKDOWN TOTAL 520.00

Credit/Debit Card 520.00 VATABLE SALES
TOTAL 520.00 ZERO-RATED
VAT EXEMPT 313.11
VAT - 12%
CHAI ABELLERA
This O.R. cancels P.R. 490 Cashier
This O.R. shall be valid for five (5) years from the date of the BIR Permit No. 1812_0125_PTU_CAS_000402 Issued:12/27/2018 Inclusive Series : RIHO-000001 - RIHO-999999
permit to use.