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THIS OFFICIAL RECEIPT SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP.

Sample Only. “Annex C.1.1”. 10 Bklts (3x) 1001-1500 BIR Authority to Print No. 3AU000805222 Date Issued : 07-30-13: Valid until 07-29-2018 JDC PRINTING SERVICES, INC . Bgy . 123, Quezon City TIN: 123-456-789-0000. Printer’s Accreditation No . P08051200 Date Issued: 08-01-12.

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THIS OFFICIAL RECEIPT SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP.

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  1. Sample Only “Annex C.1.1” 10 Bklts (3x) 1001-1500 BIR Authority to Print No. 3AU000805222 Date Issued : 07-30-13: Valid until 07-29-2018 JDC PRINTING SERVICES, INC. Bgy. 123, Quezon City TIN: 123-456-789-0000 Printer’s Accreditation No. P08051200 Date Issued: 08-01-12 No. 1001 THIS OFFICIAL RECEIPT SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP.

  2. Sample Only “Annex C.1.2” ABC CORPORATION 76 Dilman, Quezon City VAT Reg. TIN: 144-424-024-0000 OFFICIAL RECEIPT DATE ____________ Received from ____________________with TIN_______ and address at ______________________engaged in the business style of ________________________, the sum of ___________________________________________pesos (P ____) In partial/full payment for___________________. By: __________________ Cashier/ Authorized Representative No. 1001 10 Bklts (3x) 1001-1500 BIR Authority to Print No. 3AU000805222 Date Issued07-30-13 : Valid until 07-29-2018 BERTHA PRINTING SERVICES, INC. Bgy. 789, Quezon CIty TIN: 123-456-789-0000 Printer’s Accreditation No. P08051200 Date Issued 08-01-12 THIS OFFICIAL RECEIPT SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP.

  3. “Annex C.2” Sample Only LARRY B. VELO., M.D. Rm. 205 St. Luke’s Hospital, E. Rodriguez Sr.,Q.C. NON-VAT Reg. TIN: 144-424-024-0000 OFFICIAL RECEIPT DATE _____________ Received from ____________________with TIN_______ and address at ______________________engaged in the business style of ________________________, the sum of ___________________________________________pesos (P ____) In partial/full payment for___________________. By: __________________ Cashier/ Authorized Representative No. 1001 10 Bklts (3x) 1001-1500 BIR Authority to Print No. 3AU000805222 Date Issued07-30-13: Valid until 07-29-2018 BERTHA PRINTING SERVICES, INC. Bgy. 789, Quezon City TIN: 123-456-789-0000 Printer’s Accreditation No. P08051200 Date Issued 08-01-12 “THIS DOCUMENT IS NOT VALID FOR CLAIM OF INPUT TAXES” THIS OFFICIAL RECEIPT SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP.

  4. Sample Only “Annex C.3” 10 Bklts (3x) 1001-1500 BIR Authority to Print No. 3AU000805222 Date Issued : 07-30-13: Valid until 07-29-2018 JDC PRINTING SERVICES, INC. Bgy. 123, Quezon City TIN: 123-456-789-0000 Printer’s Accreditation No. P08051200 Date Issued: 08-01-12 No. 1001 THIS INVOICE SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP.

  5. Sample Only “Annex C.4” 10 Bklts (3x) 1001-1500 BIR Authority to Print No. 3AU000805222 Date Issued : 07-30-13: Valid until 07-29-2018 JDC PRINTING SERVICES, INC. Bgy. 123, Quezon City TIN: 123-456-789-0000 Printer’s Accreditation No. P08051200 Date Issued: 08-01-12 No. 1001 “THIS DOCUMENT IS NOT VALID FOR CLAIM OF INPUT TAXES” THIS INVOICE SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP.

  6. Sample Only JUAN DELA CRUZ Proprietor 426 Dilman, Quezon City ________ Reg. TIN: 305-410-465-0000 COLLECTION RECEIPT DATE ____________ “Annex C.5” Received from __________________________with TIN______________________ and address at ____________________________________ engaged in the business style of __________________________________________________, the sum of ____________________________________________pesos (P_______) In partial/full payment for____________________________________. By: ____________________ Cashier/ Authorized Representative 10 Bklts (3x) 1001-1500 BIR Authority to Print No. 3AU000805222 Date Issued : 07-30-13: Valid until 07-29-2018 JDC PRINTING SERVICES, INC. Bgy. 123, Quezon City TIN: 123-456-789-0000 Printer’s Accreditation No. P08051200 Date Issued: 08-01-12 No. 1001 “THIS DOCUMENT IS NOT VALID FOR CLAIM OF INPUT TAXES” THIS COLLECTION RECEIPT SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP.

  7. Sample Only “Annex C.6” No. 1001 “THIS DOCUMENT IS NOT VALID FOR CLAIM OF INPUT TAXES” THIS DELIVERY RECEIPT SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP.

  8. Sample Only “Annex C.7” 10 Bklts (3x) 1001-1500 BIR Authority to Print No. 3AU000805222 Date Issued : 07-30-13: Valid until 07-29-2018 JDC PRINTING SERVICES, INC. Bgy. 123, Quezon City TIN: 123-456-789-0000 Printer’s Accreditation No. P08051200 Date Issued: 08-01-12 No. 1001 “THIS DOCUMENT IS NOT VALID FOR CLAIM OF INPUT TAXES” THIS OFFICIAL RECEIPT SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP.

  9. “Annex C.8” Sample Only RYZE D. MILLER Lal-lo, Cagayan Valley. NON-VAT Reg. TIN: 144-424-024-0000 OFFICIAL RECEIPT DATE _____________ (EXEMPT) Received from ____________________with TIN_______ and address at ______________________engaged in the business style of ________________________, the sum of ___________________________________________pesos (P ____) In partial/full payment for___________________. By: __________________ Cashier/ Authorized Representative No. 1001 10 Bklts (3x) 1001-1500 BIR Authority to Print No. 3AU000805222 Date Issued07-30-13: Valid until 07-29-2018 BERTHA PRINTING SERVICES, INC. Bgy. 789, Quezon City TIN: 123-456-789-0000 Printer’s Accreditation No. P08051200 Date Issued 08-01-12 “THIS DOCUMENT IS NOT VALID FOR CLAIM OF INPUT TAXES” THIS OFFICIAL RECEIPT SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP.

  10. Sample Only “Annex C.9” 10 Bklts (3x) 1001-1500 BIR Authority to Print No. 3AU000805222 Date Issued : 07-30-13: Valid until 07-29-2018 JDC PRINTING SERVICES, INC. Bgy. 123, Quezon City TIN: 123-456-789-0000 Printer’s Accreditation No. P08051200 Date Issued: 08-01-12 No. 1001 “THIS DOCUMENT IS NOT VALID FOR CLAIM OF INPUT TAXES” THIS INVOICE SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP.

  11. Sample Only “Annex C.10” (EXEMPT) 10 Bklts (3x) 1001-1500 BIR Authority to Print No. 3AU000805222 Date Issued : 07-30-13: Valid until 07-29-2018 JDC PRINTING SERVICES, INC. Bgy. 123, Quezon City TIN: 123-456-789-0000 Printer’s Accreditation No. P08051200 Date Issued: 08-01-12 No. 1001 “THIS DOCUMENT IS NOT VALID FOR CLAIM OF INPUT TAXES” THIS INVOICE SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP.

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