Escolar Documentos
Profissional Documentos
Cultura Documentos
Applicati Police
Payor / Name of Bussiness Tax Burial Permit on For Marriage Electrifi- Registration Secretary's Certification
Date
Taxpayer
O.R. No.
Code Fee Marriag Counseling cation fee
Medical Fee Occupancy Tawas Permit Fees Clearance fees fees fees
Zoning Sanitary Total
TOTAL
e fees
582 585 593 598-1 598-2 598-3 598-7 598-8 598-8 613 606 613 613 593-1 148
Leonardo Talania 6679801 25.00 25.00
Leonardo Talania 6679802 25.00 25.00
Randy Anselig 6679803 50.00 50.00
Katriza Anselig 6679804 150.00 150.00
Eddie Desoy 6679805 1,200.00 1,200.00
Edwin Subiate 6679806 180.00 180.00
Dedios Abil 6679807 280.00 280.00
Charlyn Acas 6679808 25.00 25.00
Alecia Villamor 6679809 50.00 50.00
Lidud Andre Rojas 6679810 180.00 180.00
Lymuel Mananaok 6679811 50.00 50.00
Jocelyn Sancag 6679812 25.00 25.00
Nympa Jumawag 6679813 25.00 25.00
Roselyn Lopena 6679814 250.00 250.00
John Jerick 6679815 50.00 50.00
Jenny Abaratique 6679816 260.00 260.00
Rosalie Bongcawil 6679817 50.00 50.00
Palomar Florencio 6679818 50.00 50.00
Romeo Lopez 6679819 50.00 50.00
Pully Warren Escondi6679820 50.00 50.00
Amalia Tome 6679821 50.00 50.00
Jeannette Sultan 6679822 50.00 50.00
Remecca Caimon 6679823 50.00 50.00
Joel Mejos 6679824 50.00 50.00
Perla Ongcol 6679825 50.00 50.00
Jeffrey Binondo 6679826 50.00 50.00
Mary Ann Baterna 6679827 175.00 5.00 50.00 120.00
Ester Espinosa 6679828 180.00 180.00
Welma Manulong 6679829 840.00 840.00
Delia Sabanal 6679830 50.00 50.00
Florida Grafe 6679831 25.00 25.00
Anita Belagantol 6679832 220.00 220.00
Roman Remandai 6679833 50.00 50.00
Maricris Joy Abelanio6679834 25.00 25.00
Prescilla Ami 6679835 220.00 220.00
Leni Albarico 6679836 175.00 5.00 50.00 120.00
Helmerita Fullon 6679837 25.00 25.00
Vivian Ubagan 6679838 25.00 25.00
Renren Garganian 6679839 50.00 50.00
Alberto Bansagon 6679840 50.00 50.00
Deonie Apatan 6679841 50.00 50.00
TCS 6679842 650.00 650.00
TCS 6679843 1,720.00 1,720.00
Marven 6679844 25.00 25.00
Marven Bacallanes 6679845 25.00 25.00
Flordemae 6679846 150.00 150.00
Flordemae 6679847 180.00 180.00
Rosalyn Dela Cerna 6679848 25.00 25.00
Ronelyn De la Cerna 6679849 25.00 25.00
Roselyn dela C 6679850 25.00 25.00
8,310.00 - - 150.00 10.00 75.00 100.00 6,360.00 240.00 1,050.00 25.00 50.00 250.00
Wholesalers B582-1 -
Retailers B582-2 -
Contractors and Other Independent Contractors B582-3 - MARY JANE K. CALUMBA CYNTHIA D. ABIL
Banks and Other Financial Institutions B582-4 - Collector/Accountable Officer Actiing Municipal Treasurer
page 2 of 2
C. ACCOUNTABILITY FOR ACCOUNTABLE FORMS
SUB - TOTAL P -
GRAND - TOTAL P Err:509
REPORT OF ACCOUNTABILITTY OF ACCOUNTABLE FORMS
Month of ____________________________ 20________
Certified Correct:
Accountable Officer
Date
Certified Correct:
Accountable Officer
Date