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Accountable Form No. 56
Republic of the Philippines PREWOUS HR RECEIPT WO.
(Revised 1994) PROVINCE OF BOHOL lieeines. { lil No,
5s Se |__
OFFICIAL RECEIPT hoe. oar ns ee
TeeeGais SG ;
ORIGINAL TT nein glo 2617 ho
‘eauat Fi Fount
a . A te 1
2 tas nda fity Oe Bante Git
‘ot ‘ ic TAK
Pipe cron a ct REAL PROPERTY TAK pon esr boon fo the Calera Year
peat Crinstatment PPE aa Ie iG) atone FUND
NAME OF DECLARED Toearion JLOTNO.| TAX ‘ASSESSED VALUE NSTALLMENT ra
le No,SreeGerengay | BLOCK |DEC. NO| tard linprovement! Total | “OUST, | Payment * au
7 7 5 z
Couey, So Lo-Fi Airing a Me RYT
Gee Awe ey OES oso p | Mes
t
weit peed slated bow @ By Jee oT tora pF
tnt ‘CASH PU WOLSG
‘tina, Jan toa 31 ‘CHECK NO.
Soma “apetiogunas’ | BANKDATE
Poe oe a h\-
fovst 0a ebse 34 TOTAL DepuriCaleeing Agent