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Payment Slip: /omjaai 2. Ic Ri /ooo To - Ooo

This payment slip summarizes a cash payment of PHP 50,000 for a hospital loan. It lists the customer's name as Jonathan K. Jalmanza, along with their subscriber, card, and loan account numbers. The cash breakdown includes PHP 50,000 in 1000 denomination bills. The total cash payment is PHP 50,000.
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0% found this document useful (0 votes)
77 views1 page

Payment Slip: /omjaai 2. Ic Ri /ooo To - Ooo

This payment slip summarizes a cash payment of PHP 50,000 for a hospital loan. It lists the customer's name as Jonathan K. Jalmanza, along with their subscriber, card, and loan account numbers. The cash breakdown includes PHP 50,000 in 1000 denomination bills. The total cash payment is PHP 50,000.
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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PAYMENT SLIP

Paym ent For ( K m a iy f i l i - o u i s*p»'ai* s 'lp 'o ' e a c o " x ) e O ' p a y m e n ii CABH OENOMINAWQN BR£AM>0WN

[ ~ } PESO BILI.INQ
COMPANV nam e ' LOAN TYPE ' SERVICE FEE
Q OOLLA« WLLINO
\omJ A A i 2. y ic> ri DENOMINATION PIECES AMOUNT

M A H ^A yX A V r z h t J t K FOP. HOCP/TAUTy/ A/^n /o o o ■TO.OOO -

Su b s c r ib e r ‘ c a r d h o l d e r s acc o u nt name REFERENCE NO 'CHECK NO

J0 MATHAK\ H- J A L M N Z A / < 2 2 . 2 C>/I


SUBSCRIBER NO CARD NO /SAP CUSTOMER NO 'LOAN ACCOUNT NO 'DEALER NO TELEPHONE NO 'OTHER OETAJLS

0 CA8M □ CHECK □ DEBIT ACCOUNT;


AutnoPzanon to Debit

AC C O U KTH O LDE fi'S S K jH A IU P C


-•V
AMOUNT |ir figuieei:
> r o / c o o ' TOTAL CASH PAYMENT ^O .O O Q -

PLEASE LIST EACH CHECK AND ENDORSE PROPERLY

BAN K /0 RANCH CHECK MO AMOUNT


234 HAGSAYGAY CE«TE 01/29/2019 14;5B .M PYUT ON IB
0232 348 29I38 PHP 50.000.00
JONATHAN K. JAINANZAL I . 000000 CS

TOTAL CHECK PAYMENT


V

THIS PAYMENT IS SUBJECT TO THE TERMS AND CONDITIONS COVERINC THIS ACCOUNT
THIS IS YOUR RECEIPT WHEN MACHINE VALIDATED
Me-i-M-213'Rev Oct V

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