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Owned&Operatedby:LOSAROPTICS,INC
105PavillionMall,SanAntonio,
Binan,Laguna,4025,Philippines
VATREG.TIN:002725836009
TaxInvoiceNo.: 4211
Date/time: 11/16/1414:28
Cashier: ThereseSamson
SALESTRANSACTION
Description Amount
COMPLETEEYEGLASS 23950.00VAT
TotalPhp 23950.00
Cash 24000.00
Change 50.00
NumberofItem/s: 1
VAT12% 2566.07
VatableAmount: 21383.93
Merchandiseonthisinvoicemaybe
returnedorexchangedwithin14days
fromthepurchasedate.
Allreturnsandexchangemustbe
accompaniedwiththisinvoice.
ThankYou!
SarabiaOptical
Owned&Operatedby:LOSAROPTICS,INC
105PavillionMall,SanAntonio,
Binan,Laguna,4025,Philippines
VATREG.TIN:002725836009
TaxInvoiceNo.: 4211
Date/time: 11/16/1414:28
Cashier: ThereseSamson
SALESTRANSACTION
Description Amount
COMPLETESETEYEGLASS 23950.00VAT
TotalPhp 23950.00
Cash 24000.00
Change 50.00
NumberofItem/s: 1
VAT12% 2566.07
VatableAmount: 21383.93
Merchandiseonthisinvoicemaybe
returnedorexchangedwithin14days
fromthepurchasedate.
Allreturnsandexchangemustbe
accompaniedwiththisinvoice.
ThankYou!
SarabiaOptical
Owned&Operatedby:LOSAROPTICS,INC
105PavillionMall,SanAntonio,
Binan,Laguna,4025,Philippines
VATREG.TIN:002725836009
TaxInvoiceNo.: 4211
Date/time: 11/16/1414:28
Cashier: ThereseSamson
Description Amount
TotalPhp 23950.00
Cash 24000.00
Change 50.00
NumberofItem/s: 1
VAT12% 2566.07
VatableAmount: 21383.93
Merchandiseonthisinvoicemaybe
returnedorexchangedwithin14days
fromthepurchasedate.
Allreturnsandexchangemustbe
accompaniedwiththisinvoice.
ThankYou!
RUBY Q. ALDEA, M.D.
St. James Hospital, Dita, Sta. Rosa, Laguna
NON-VAT Reg. TIN: 903-692-965-002
ISTINA M.
and Address at
FIVE HUNDRED
CONSULTATION FEE
By: __________________________
Cashier / Authorized Representative