DIMACULANGAN LEGAL SERVICES

No. 34 Examiner Street, West Triangle, Quezon City

VAT Reg. TIN: 129-472-185-000

PROVISIONAL RECEIPT No. 0001

Date: ______________________
 DIMACULANGAN LEGAL SERVICES
No. 34 Examiner Street, West Triangle, Quezon City
VAT Reg. TIN: 129-472-185-000

PROVISIONAL RECEIPT No. 0002

Date: ______________________

Received from ____________________________________________________________________

With Address at __________________________________________________________________

Bus. Style/Name __________________________________________________________________

the sum of Pesos _________________________________________________________________

____________________________________________________________ (₱ _______________ )
In partial/full payment for __________________________________________________________

By: ______________________
Authorized Representative
 DIMACULANGAN LEGAL SERVICES DIMACULANGAN LEGAL SERVICES
No. 34 Examiner Street, West Triangle, Quezon City No. 34 Examiner Street, West Triangle, Quezon City
VAT Reg. TIN: 129-472-185-000 VAT Reg. TIN: 129-472-185-000

PROVISIONAL RECEIPT No. 0003 PROVISIONAL RECEIPT No. 0004

Date: ______________________ Date: ______________________

Received from ____________________________________________________________________ Received from ____________________________________________________________________

With Address at __________________________________________________________________ With Address at __________________________________________________________________

Bus. Style/Name __________________________________________________________________ Bus. Style/Name __________________________________________________________________

the sum of Pesos _________________________________________________________________ the sum of Pesos _________________________________________________________________

____________________________________________________________ (₱ _______________ ) ____________________________________________________________ (₱ _______________ )

In partial/full payment for __________________________________________________________ In partial/full payment for __________________________________________________________

By: ______________________ By: ______________________

Authorized Representative Authorized Representative
 DIMACULANGAN LEGAL SERVICES DIMACULANGAN LEGAL SERVICES
No. 34 Examiner Street, West Triangle, Quezon City No. 34 Examiner Street, West Triangle, Quezon City
VAT Reg. TIN: 129-472-185-000 VAT Reg. TIN: 129-472-185-000

PROVISIONAL RECEIPT No. 0005 PROVISIONAL RECEIPT No. 0006

Date: ______________________ Date: ______________________

Received from ____________________________________________________________________ Received from ____________________________________________________________________

With Address at __________________________________________________________________ With Address at __________________________________________________________________

Bus. Style/Name __________________________________________________________________ Bus. Style/Name __________________________________________________________________

the sum of Pesos _________________________________________________________________ the sum of Pesos _________________________________________________________________

____________________________________________________________ (₱ _______________ ) ____________________________________________________________ (₱ _______________ )

In partial/full payment for __________________________________________________________ In partial/full payment for __________________________________________________________

By: ______________________ By: ______________________

Authorized Representative Authorized Representative
 DIMACULANGAN LEGAL SERVICES DIMACULANGAN LEGAL SERVICES
No. 34 Examiner Street, West Triangle, Quezon City No. 34 Examiner Street, West Triangle, Quezon City
VAT Reg. TIN: 129-472-185-000 VAT Reg. TIN: 129-472-185-000

PROVISIONAL RECEIPT No. 0007 PROVISIONAL RECEIPT No. 0008

Date: ______________________ Date: ______________________

Received from ____________________________________________________________________ Received from ____________________________________________________________________

With Address at __________________________________________________________________ With Address at __________________________________________________________________

Bus. Style/Name __________________________________________________________________ Bus. Style/Name __________________________________________________________________

the sum of Pesos _________________________________________________________________ the sum of Pesos _________________________________________________________________

____________________________________________________________ (₱ _______________ ) ____________________________________________________________ (₱ _______________ )

In partial/full payment for __________________________________________________________ In partial/full payment for __________________________________________________________

By: ______________________ By: ______________________

Authorized Representative Authorized Representative
 DIMACULANGAN LEGAL SERVICES DIMACULANGAN LEGAL SERVICES
No. 34 Examiner Street, West Triangle, Quezon City No. 34 Examiner Street, West Triangle, Quezon City
VAT Reg. TIN: 129-472-185-000 VAT Reg. TIN: 129-472-185-000

PROVISIONAL RECEIPT No. 0010 PROVISIONAL RECEIPT No. 0009

Date: ______________________ Date: ______________________

Received from ____________________________________________________________________ Received from ____________________________________________________________________

With Address at __________________________________________________________________ With Address at __________________________________________________________________

Bus. Style/Name __________________________________________________________________ Bus. Style/Name __________________________________________________________________

the sum of Pesos _________________________________________________________________ the sum of Pesos _________________________________________________________________

____________________________________________________________ (₱ _______________ ) ____________________________________________________________ (₱ _______________ )

In partial/full payment for __________________________________________________________ In partial/full payment for __________________________________________________________

By: ______________________ By: ______________________

Authorized Representative Authorized Representative
 DIMACULANGAN LEGAL SERVICES DIMACULANGAN LEGAL SERVICES
No. 34 Examiner Street, West Triangle, Quezon City No. 34 Examiner Street, West Triangle, Quezon City
VAT Reg. TIN: 129-472-185-000 VAT Reg. TIN: 129-472-185-000

PROVISIONAL RECEIPT No. 0011 PROVISIONAL RECEIPT No. 0012

Date: ______________________ Date: ______________________

Received from ____________________________________________________________________ Received from ____________________________________________________________________

With Address at __________________________________________________________________ With Address at __________________________________________________________________

Bus. Style/Name __________________________________________________________________ Bus. Style/Name __________________________________________________________________

the sum of Pesos _________________________________________________________________ the sum of Pesos _________________________________________________________________

____________________________________________________________ (₱ _______________ ) ____________________________________________________________ (₱ _______________ )

In partial/full payment for __________________________________________________________ In partial/full payment for __________________________________________________________

By: ______________________ By: ______________________

Authorized Representative Authorized Representative
 DIMACULANGAN LEGAL SERVICES DIMACULANGAN LEGAL SERVICES
No. 34 Examiner Street, West Triangle, Quezon City No. 34 Examiner Street, West Triangle, Quezon City
VAT Reg. TIN: 129-472-185-000 VAT Reg. TIN: 129-472-185-000

PROVISIONAL RECEIPT No. 0014 PROVISIONAL RECEIPT No. 0013

Date: ______________________ Date: ______________________

Received from ____________________________________________________________________ Received from ____________________________________________________________________

With Address at __________________________________________________________________ With Address at __________________________________________________________________

Bus. Style/Name __________________________________________________________________ Bus. Style/Name __________________________________________________________________

the sum of Pesos _________________________________________________________________ the sum of Pesos _________________________________________________________________

____________________________________________________________ (₱ _______________ ) ____________________________________________________________ (₱ _______________ )

In partial/full payment for __________________________________________________________ In partial/full payment for __________________________________________________________

By: ______________________ By: ______________________

Authorized Representative Authorized Representative
 DIMACULANGAN LEGAL SERVICES DIMACULANGAN LEGAL SERVICES
No. 34 Examiner Street, West Triangle, Quezon City No. 34 Examiner Street, West Triangle, Quezon City
VAT Reg. TIN: 129-472-185-000 VAT Reg. TIN: 129-472-185-000

PROVISIONAL RECEIPT No. 0015 PROVISIONAL RECEIPT No. 0016

Date: ______________________ Date: ______________________

Received from ____________________________________________________________________ Received from ____________________________________________________________________

With Address at __________________________________________________________________ With Address at __________________________________________________________________

Bus. Style/Name __________________________________________________________________ Bus. Style/Name __________________________________________________________________

the sum of Pesos _________________________________________________________________ the sum of Pesos _________________________________________________________________

____________________________________________________________ (₱ _______________ ) ____________________________________________________________ (₱ _______________ )

In partial/full payment for __________________________________________________________ In partial/full payment for __________________________________________________________

By: ______________________ By: ______________________

Authorized Representative Authorized Representative
 DIMACULANGAN LEGAL SERVICES DIMACULANGAN LEGAL SERVICES
No. 34 Examiner Street, West Triangle, Quezon City No. 34 Examiner Street, West Triangle, Quezon City
VAT Reg. TIN: 129-472-185-000 VAT Reg. TIN: 129-472-185-000

PROVISIONAL RECEIPT No. 0017 PROVISIONAL RECEIPT No. 0018

Date: ______________________ Date: ______________________

Received from ____________________________________________________________________ Received from ____________________________________________________________________

With Address at __________________________________________________________________ With Address at __________________________________________________________________

Bus. Style/Name __________________________________________________________________ Bus. Style/Name __________________________________________________________________

the sum of Pesos _________________________________________________________________ the sum of Pesos _________________________________________________________________

____________________________________________________________ (₱ _______________ ) ____________________________________________________________ (₱ _______________ )

In partial/full payment for __________________________________________________________ In partial/full payment for __________________________________________________________

By: ______________________ By: ______________________

Authorized Representative Authorized Representative
 DIMACULANGAN LEGAL SERVICES DIMACULANGAN LEGAL SERVICES
No. 34 Examiner Street, West Triangle, Quezon City No. 34 Examiner Street, West Triangle, Quezon City
VAT Reg. TIN: 129-472-185-000 VAT Reg. TIN: 129-472-185-000

PROVISIONAL RECEIPT No. 0019 PROVISIONAL RECEIPT No. 0020

Date: ______________________ Date: ______________________

Received from ____________________________________________________________________ Received from ____________________________________________________________________

With Address at __________________________________________________________________ With Address at __________________________________________________________________

Bus. Style/Name __________________________________________________________________ Bus. Style/Name __________________________________________________________________

the sum of Pesos _________________________________________________________________ the sum of Pesos _________________________________________________________________

____________________________________________________________ (₱ _______________ ) ____________________________________________________________ (₱ _______________ )

In partial/full payment for __________________________________________________________ In partial/full payment for __________________________________________________________

By: ______________________ By: ______________________

Authorized Representative Authorized Representative
 DIMACULANGAN LEGAL SERVICES DIMACULANGAN LEGAL SERVICES
No. 34 Examiner Street, West Triangle, Quezon City No. 34 Examiner Street, West Triangle, Quezon City
VAT Reg. TIN: 129-472-185-000 VAT Reg. TIN: 129-472-185-000

PROVISIONAL RECEIPT No. 0021 PROVISIONAL RECEIPT No. 0022

Date: ______________________ Date: ______________________

Received from ____________________________________________________________________ Received from ____________________________________________________________________

With Address at __________________________________________________________________ With Address at __________________________________________________________________

Bus. Style/Name __________________________________________________________________ Bus. Style/Name __________________________________________________________________

the sum of Pesos _________________________________________________________________ the sum of Pesos _________________________________________________________________

____________________________________________________________ (₱ _______________ ) ____________________________________________________________ (₱ _______________ )

In partial/full payment for __________________________________________________________ In partial/full payment for __________________________________________________________

By: ______________________ By: ______________________

Authorized Representative Authorized Representative
 DIMACULANGAN LEGAL SERVICES DIMACULANGAN LEGAL SERVICES
No. 34 Examiner Street, West Triangle, Quezon City No. 34 Examiner Street, West Triangle, Quezon City
VAT Reg. TIN: 129-472-185-000 VAT Reg. TIN: 129-472-185-000

PROVISIONAL RECEIPT No. 0023 PROVISIONAL RECEIPT No. 0024

Date: ______________________ Date: ______________________

Received from ____________________________________________________________________ Received from ____________________________________________________________________

With Address at __________________________________________________________________ With Address at __________________________________________________________________

Bus. Style/Name __________________________________________________________________ Bus. Style/Name __________________________________________________________________

the sum of Pesos _________________________________________________________________ the sum of Pesos _________________________________________________________________

____________________________________________________________ (₱ _______________ ) ____________________________________________________________ (₱ _______________ )

In partial/full payment for __________________________________________________________ In partial/full payment for __________________________________________________________

By: ______________________ By: ______________________

Authorized Representative Authorized Representative