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This document is a receipt for a cash deposit made to a savings account. It shows the deposit of 59,051.88 Philippine Pesos in cash. The receipt details the denomination and number of bills deposited, along with the total amount. It also lists the account number and confirms the deposit was made at the bank branch on a specific date and time.

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KIMBERLY BALISACAN
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57 views1 page

Img 20200115 0001

This document is a receipt for a cash deposit made to a savings account. It shows the deposit of 59,051.88 Philippine Pesos in cash. The receipt details the denomination and number of bills deposited, along with the total amount. It also lists the account number and confirms the deposit was made at the bank branch on a specific date and time.

Uploaded by

KIMBERLY BALISACAN
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NUMBER

CASH DEPOSIT

DENOT\4lNATlON NO OF PIECES AMOUNT

mark with (r') the type of account (use separat€ o€Fsit Stip tor sach ryF or curency)

SAVINGS
! Peso ! UsDotlar E otherCurrency

s73-7-5730039s-7 RAtlcTAY 0llL4i20?a .11:38:19 Ol{-I TOTAL CASH DEPOSIT

0070 528 '3s075 PHP 59,'051 . 88


69. 064 . 88 BANI(BRANCH CHECK NUMBER AMOUNT

\ zY1 },cZ4aa "ft hloil. t*


J

THIS IS YOUR RECEIPT WHEN MACHINE VALIDATED

TOTAL CHECK DEPOSIT I

rrangay) (Ciiy/}il un icipality) (Povinc) (Country)

Ccllprtinq- fiifiier: Rahant. Eleorior h:, # raal hoeS 'ILco. f,olt DhLllml-um
Ternrin.El [ode: ?* l6d, mMplsh Nndarlt of AdodlodoorE U,Cdmlodon of pabrntty d tho bd.t)
- -
ItrtB-'Iinie : Lrl/t 3/i[re[ [3:.Ifl ; l0F]l aiO ,ft. prAcE (cig I ruui"ip.rityi 1eryince1 (Cou ntry)
l

_ L__ tr{x

Fhy"Ti nro.
__ .1 !t! _a_l uirotoraaitonalBtrrhAitondaot) _s otlB(Sdfy)
-_1 =J
CERTIFICATIoN oFATTENDANTATBTRTH (pnvdd.n. Nur. Miditb,Tradiiood BnhAtberdluHld Eb.l
I h€Eby @diry lhat I attsnded th€ birth of E cfiild who was bom attve A HI anlpn m lhe dab of tilh specified above

Sighahrre INT Addross


Name in Print

nue q Pcition Date


CERNHO{TrcN OF INFORMANT
I heEby Blit
tnat all infomation supplhj aro Ere and
@mct to my M
krwl€dgs and belbf.

Name ln Print IOilA L V LE€I


Tite or position ArEeltteetlra lLd. II
p"ru JTuE{,19, ?Ol? -
i
21. RECEMEOBY -- |25.RE-5.RE6|SER-ED E-y-i.lt-
sisn'tr." Ct$^-/
glf
Nare _ LB VILE
in prini

Tius or pGilion &tatd.rtretlvr lid, II -

FILLED{'PAT THE OFFICEOF THE CIVILREGISTRAR


9 1r 13

.?

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