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0149 Atap SK Brgy. Kaulanguhan, Caibiran

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RETAIN 1 COPY TO BE SCANNED AND EMAILED BACK TO BUREAU OF THE TREASURY WITH MARKED RECEIVED BY THE BANK

To: The Manager ATAP NO. NL-22-0149[JM] 1 To: The Manager ATAP NO. NL-22-0149[JM]
LBP/DBP/PVB LBP/DBP/PVB

AUTHORITY TO ACCEPT PAYMENT AUTHORITY TO ACCEPT PAYMENT

PRINT IN 4 COPIES – PRESENT THIS WITH THE DEPOSIT SLIPS AND GIVE 2 COPIES TO THE BANK
FOR DEPOSIT TO SAVINGS ACCOUNT OF THE TREASURER OF THE PHILIPPINES FOR DEPOSIT TO SAVINGS ACCOUNT OF THE TREASURER OF THE PHILIPPINES
PAYING AGENCY LGU-BILIRAN PROVINCE AREA CODE 0837 PAYING AGENCY LGU-BILIRAN PROVINCE AREA CODE 0837

PAYING AGENCY CODE Y0075 DATE PREPARED 06-Sep-22 PAYING AGENCY CODE Y0075 DATE PREPARED 06-Sep-22

ADDRESS SK BRGY. KAULANGUHAN, CAIBIRAN BILL NO. (YR-MONTH-NUMBER) ADDRESS SK BRGY. KAULANGUHAN, CAIBIRAN BILL NO. (YR-MONTH-NUMBER)

COMPUTATION OF FIDELITY BOND PREMIUM DUE COMPUTATION OF FIDELITY BOND PREMIUM DUE

FUND TRANSACTION AMOUNT OF BOND FUND TRANSACTION AMOUNT OF BOND


AMOUNT AMOUNT
CODE CODE (at 1.5% per annum / P 150.00) CODE CODE (at 1.5% per annum / P 150.00)

152 663 P 120,000.00 P 1,800.00 152 663 P 120,000.00 P 1,800.00

VALID ONLY WITHIN THE MONTH OF ISSUANCE VALID ONLY WITHIN THE MONTH OF ISSUANCE

TOTAL AMOUNT PAYABLE P 1,800.00 TOTAL AMOUNT PAYABLE P 1,800.00


PREPARED BY: APPROVED BY: PREPARED BY: APPROVED BY:

BIENVENIDO F. LACABA JR. MARIA FE LUZETTE D. LUMAPAS BIENVENIDO F. LACABA JR. MARIA FE LUZETTE D. LUMAPAS
TROO IV OIC-PROVINCIAL HEAD TROO IV OIC-PROVINCIAL HEAD
Signature Over Signature Over Signature Over Signature Over
Printed Name and Position Printed Name and Position Printed Name and Position Printed Name and Position
FOR BANK'S USE ONLY FOR BANK'S USE ONLY
DETAILS OF PAYMENT DETAILS OF PAYMENT
PARTICULARS DRAWEE BANK / NUMBER PARTICULARS DRAWEE BANK / NUMBER
CASH P CASH P
CHECK CHECK
TOTAL PAYMENT RECEIVED P TOTAL PAYMENT RECEIVED P
BANK MACHINE VALIDATION OF AMOUNT AND DATE BANK MACHINE VALIDATION OF AMOUNT AND DATE

ARRIO, JAMES BONG S. SK C


PICA, MARK JHON B. SK T

SAMPLE DEPOSIT SLIP


SAMPLE DEPOSIT SLIP

*
*
3 4 0 2 2 85 1 5 9 BTr - Fidelity Bond Fund/ Bureau of the Treasury

110050300008 *
LM0417

SK BRGY. KAULANGUHAN, CAIBIRAN


*
1,800.00

GET SIX (6) ONCOLL PAYMENT SLIPS IN THE BANK


AND COPY THE DETAILS IN THIS SAMPLE

Please pay the premium immediately within the month of the


issuance of the ATAP for accounting purposes.
SAMPLE DEPOSIT SLIP
SAMPLE DEPOSIT SLIP

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