Jidelicious Meal Stop BILLING STATEMENT

Brgy. Biyan Calauag, Quezon

Bill To: CALAUAG MUNICIPAL (INFIRMARY) HOSPITAL Statement Date
Statement # 013
Customer ID 0087

Remittance: Account Summary

To ensure proper credit, please enclose a copy of this statement Balance Due
with your check and remit to:

Jidelicious Meal Stop

Maharlika Highway Brgy. Biyan .
Calauag, Quezon

Account Activity
INCLUSIVE DATES DESCRIPTION PAYMENT AMOUNT BALANCE
0.00
0.00
0.00
-Nothing Follows-

Amount in Words: Total

Received By: Prepared By:

DR. KATHERINE P. RUBY JOANNE MARIE O. OLVIGA

Municipal Health Officer Proprietor
Date: ___________________ By: DIANA ROSE V. MORENO [42]

Date: _________________

Page 1 of 13
Jidelicious Meal Stop BILLING STATEMENT
Brgy. Biyan Calauag, Quezon
Bill To: CALAUAG MUNICIPAL (INFIRMARY) HOSPITAL Statement Date 12-Jan-2018
Statement # 012
Customer ID 0087

Remittance: Account Summary

To ensure proper credit, please enclose a copy of this statement Balance Due P 67,278.00
with your check and remit to:

Jidelicious Meal Stop

Maharlika Highway Brgy. Biyan .
Calauag, Quezon

Account Activity
INCLUSIVE DATES DESCRIPTION PAYMENT AMOUNT BALANCE
December 1-31, 2017 Breakfast (344 pax @ 49.50) 0.00 17,028.00 P 17,028.00
Lunch (340 pax @ 75.00) 0.00 25,500.00 P 25,500.00
Dinner (330 pax @75.00 ) 0.00 24,750.00 P 24,750.00
-Nothing Follows-

Amount in Words: Sixty Seven Thousand Two Hundred Seventy Eight Pesos only Total P 67,278.00
Received By: Prepared By:

DR. KATHERINE P. RUBY JOANNE MARIE O. OLVIGA

Municipal Health Officer Proprietor
Date: ___________________ By: DIANA ROSE V. MORENO [42]

Date: _________________

Page 2 of 13
Jidelicious Meal Stop BILLING STATEMENT
Brgy. Biyan Calauag, Quezon
Bill To: CALAUAG MUNICIPAL (INFIRMARY) HOSPITAL Statement Date 6-Dec-2017
Statement # 011
Customer ID 0087

Remittance: Account Summary

To ensure proper credit, please enclose a copy of this statement Balance Due P 68,550.00
with your check and remit to:

Jidelicious Meal Stop

Maharlika Highway Brgy. Biyan .
Calauag, Quezon

Account Activity
INCLUSIVE DATES DESCRIPTION PAYMENT AMOUNT BALANCE
November 1-30, 2017 Breakfast (350 pax @ 49.50) 0.00 17,325.00 P 17,325.00
Lunch (344 pax @ 75.00) 0.00 25,800.00 P 25,800.00
Dinner (339 pax @75.00 ) 0.00 25,425.00 P 25,425.00
-Nothing Follows-

Amount in Words: Sixty Eight Thousand Five hundred fifty Pesos only Total P 68,550.00
Received By: Prepared By:

DR. KATHERINE P. RUBY JOANNE MARIE O. OLVIGA

Municipal Health Officer Proprietor
Date: ___________________ By: DIANA ROSE V. MORENO [42]

Date: _________________

Page 3 of 13
Jidelicious Meal Stop BILLING STATEMENT
Brgy. Biyan Calauag, Quezon
Bill To: CALAUAG MUNICIPAL (INFIRMARY) HOSPITAL Statement Date 10-Nov-2017
Statement # 010
Customer ID 0087

Remittance: Account Summary

To ensure proper credit, please enclose a copy of this statement Balance Due P 64,801.50
with your check and remit to:

Jidelicious Meal Stop

Maharlika Highway Brgy. Biyan .
Calauag, Quezon

Account Activity
INCLUSIVE DATES DESCRIPTION PAYMENT AMOUNT BALANCE
October 1-31, 2017 Breakfast (347 pax @ 49.50) 0.00 17,176.50 P 17,176.50
Lunch (335 pax @ 75.00) 0.00 25,125.00 P 25,125.00
Dinner (300 pax @75.00 ) 0.00 22,500.00 P 22,500.00
-Nothing Follows-

Amount in Words: Sixty Four Thousand Eight hundred One Pesos and Fifty Centavos only Total P 64,801.50
Received By: Prepared By:

DR. KATHERINE P. RUBY JOANNE MARIE O. OLVIGA

Municipal Health Officer Proprietor
Date: ___________________ By: DIANA ROSE V. MORENO [42]

Date: _________________

Page 4 of 13
Jidelicious Meal Stop BILLING STATEMENT
Brgy. Biyan Calauag, Quezon
Bill To: CALAUAG MUNICIPAL (INFIRMARY) HOSPITAL Statement Date 3-Oct-2017
Statement # 009
Customer ID 0087

Remittance: Account Summary

To ensure proper credit, please enclose a copy of this statement Balance Due P 48,472.50
with your check and remit to:

Jidelicious Meal Stop

Maharlika Highway Brgy. Biyan .
Calauag, Quezon

Account Activity
INCLUSIVE DATES DESCRIPTION PAYMENT AMOUNT BALANCE
September 1-30, 2017 Breakfast (255 pax @ 49.50) 0.00 12,622.50 P 12,622.50
Lunch (253 pax @ 75.00) 0.00 18,975.00 P 18,975.00
Dinner (225 pax @75.00 ) 0.00 16,875.00 P 16,875.00
-Nothing Follows-

Amount in Words: Forty Eight Thousand Four Hundred Seventy Two Pesos and Fifty Centavos only Total P 48,472.50
Received By: Prepared By:

DR. KATHERINE P. RUBY JOANNE MARIE O. OLVIGA

Municipal Health Officer Proprietor
Date: ___________________ By: DIANA ROSE V. MORENO [42]

Date: _________________

Page 5 of 13
Jidelicious Meal Stop BILLING STATEMENT
Brgy. Biyan Calauag, Quezon
Bill To: CALAUAG MUNICIPAL (INFIRMARY) HOSPITAL Statement Date 8-Sep-2017
Statement # 008
Customer ID 0087

Remittance: Account Summary

To ensure proper credit, please enclose a copy of this statement Balance Due P 53,625.00
with your check and remit to:

Jidelicious Meal Stop

Maharlika Highway Brgy. Biyan .
Calauag, Quezon

Account Activity
INCLUSIVE DATES DESCRIPTION PAYMENT AMOUNT BALANCE
August 1-31, 2017 Breakfast (300 pax @ 49.50) 0.00 14,850.00 P 14,850.00
Lunch (266 pax @ 75.00) 0.00 19,950.00 P 19,950.00
Dinner (251 pax @75.00 ) 0.00 18,825.00 P 18,825.00
-Nothing Follows-

Amount in Words: Fifty Three Thousand Six Hundred Twenty Five Pesos only Total P 53,625.00
Received By: Prepared By:

DR. KATHERINE P. RUBY JOANNE MARIE O. OLVIGA

Municipal Health Officer Proprietor
Date: ___________________ By: DIANA ROSE V. MORENO [42]

Date: _________________

Page 6 of 13
Jidelicious Meal Stop BILLING STATEMENT
Brgy. Biyan Calauag, Quezon
Bill To: CALAUAG MUNICIPAL (INFIRMARY) HOSPITAL Statement Date 1-Aug-2017
Statement # 007
Customer ID 0087

Remittance: Account Summary

To ensure proper credit, please enclose a copy of this statement Balance Due P 73,659.00
with your check and remit to:

Jidelicious Meal Stop

Maharlika Highway Brgy. Biyan .
Calauag, Quezon

Account Activity
INCLUSIVE DATES DESCRIPTION PAYMENT AMOUNT BALANCE
July 1 - 31, 2017 Breakfast (382 pax @ 49.50) 0.00 18,909.00 P 18,909.00
Lunch (389 pax @ 75.00) 0.00 29,175.00 P 29,175.00
Dinner (341 pax @75.00 ) 0.00 25,575.00 P 25,575.00
-Nothing Follows-

Amount in Words: Seventy Three Thousand Six Hundred Fifty Nine Pesos only Total P 73,659.00
Received By: Prepared By:

DR. KATHERINE P. RUBY JOANNE MARIE O. OLVIGA

Municipal Health Officer Proprietor
Date: ___________________ By: DIANA ROSE V. MORENO [42]

Date: _________________

Page 7 of 13
Jidelicious Meal Stop BILLING STATEMENT
Brgy. Biyan Calauag, Quezon
Bill To: CALAUAG MUNICIPAL (INFIRMARY) HOSPITAL Statement Date 5-Jul-2017
Statement # 006
Customer ID 0087

Remittance: Account Summary

To ensure proper credit, please enclose a copy of this statement Balance Due P 64,354.50
with your check and remit to:

Jidelicious Meal Stop

Maharlika Highway Brgy. Biyan .
Calauag, Quezon

Account Activity
INCLUSIVE DATES DESCRIPTION PAYMENT AMOUNT BALANCE
June 1 to 30, 2017 Breakfast (341 pax @ 49.50) 0.00 16,879.50 P 16,879.50
Lunch (332 pax @ 75.00) 0.00 24,900.00 P 24,900.00
Dinner (301 pax @75.00 ) 0.00 22,575.00 P 22,575.00
-Nothing Follows-

Amount in Words: Sixty Four Thousand Three Hundred Fifty Four Pesos and Fifty Centavos only Total P 64,354.50
Received By: Prepared By:

DR. KATHERINE P. RUBY JOANNE MARIE O. OLVIGA

Municipal Health Officer Proprietor
Date: ___________________ By: DIANA ROSE V. MORENO [42]

Date: _________________

Page 8 of 13
Jidelicious Meal Stop BILLING STATEMENT
Brgy. Biyan Calauag, Quezon
Bill To: CALAUAG MUNICIPAL (INFIRMARY) HOSPITAL Statement Date 1-Jun-2017
Statement # 005
Customer ID 0087

Remittance: Account Summary

To ensure proper credit, please enclose a copy of this statement Balance Due P 33,337.50
with your check and remit to:

Jidelicious Meal Stop

Maharlika Highway Brgy. Biyan .
Calauag, Quezon

Account Activity
INCLUSIVE DATES DESCRIPTION PAYMENT AMOUNT BALANCE
May 1-31, 2017 Breakfast (175 pax @ 49.50) 0.00 8,662.50 P 8,662.50
Lunch (171 pax @ 75.00) 0.00 12,825.00 P 12,825.00
Dinner (158 pax @75.00 ) 0.00 11,850.00 P 11,850.00
-Nothing Follows-

Amount in Words: Thirty Three Thousand Three Hundred Thirty Seven Pesos and Fifty Centavos only Total P 33,337.50
Received By: Prepared By:

DR. KATHERINE P. RUBY JOANNE MARIE O. OLVIGA

Municipal Health Officer Proprietor
Date: ___________________ By: DIANA ROSE V. MORENO [42]

Date: _________________

Page 9 of 13
Jidelicious Meal Stop BILLING STATEMENT
Brgy. Biyan Calauag, Quezon
Bill To: CALAUAG MUNICIPAL (INFIRMARY) HOSPITAL Statement Date 9-May-2017
Statement # 004
Customer ID 0087

Remittance: Account Summary

To ensure proper credit, please enclose a copy of this statement Balance Due P 28,101.00
with your check and remit to:

Jidelicious Meal Stop

Maharlika Highway Brgy. Biyan .
Calauag, Quezon

Account Activity
INCLUSIVE DATES DESCRIPTION PAYMENT AMOUNT BALANCE
April 1-30, 2017 Breakfast (148 pax @ 49.50) 0.00 7,326.00 P 7,326.00
Lunch (141 pax @ 75.00) 0.00 10,575.00 P 10,575.00
Dinner (136 pax @75.00 ) 0.00 10,200.00 P 10,200.00
-Nothing Follows-

Amount in Words: Twenty Eight Thousand One Hundred One Pesos only Total P 28,101.00
Received By: Prepared By:

DR. KATHERINE P. RUBY JOANNE MARIE O. OLVIGA

Municipal Health Officer Proprietor
Date: ___________________ By: DIANA ROSE V. MORENO [42]

Date: _________________

Page 10 of 13
Jidelicious Meal Stop BILLING STATEMENT
Brgy. Biyan Calauag, Quezon
Bill To: CALAUAG MUNICIPAL (INFIRMARY) HOSPITAL Statement Date 7-Apr-2017
Statement # 003
Customer ID 0087

Remittance: Account Summary

To ensure proper credit, please enclose a copy of this statement Balance Due P 30,118.50
with your check and remit to:

Jidelicious Meal Stop

Maharlika Highway Brgy. Biyan .
Calauag, Quezon

Account Activity
INCLUSIVE DATES DESCRIPTION PAYMENT AMOUNT BALANCE
March 1-31, 2017 Breakfast (163 pax @ 49.50) 0.00 8,068.50 P 8,068.50
Lunch (150 pax @ 75.00) 0.00 11,250.00 P 11,250.00
Dinner (144 pax @75.00 ) 0.00 10,800.00 P 10,800.00
-Nothing Follows-

Amount in Words: Thirty Thousand One Hundred Eigteen Pesos and Fifty Centavos only Total P 30,118.50
Received By: Prepared By:

DR. KATHERINE P. RUBY JOANNE MARIE O. OLVIGA

Municipal Health Officer Proprietor
Date: ___________________ By: DIANA ROSE V. MORENO [42]

Date: _________________

Page 11 of 13
Jidelicious Meal Stop BILLING STATEMENT
Brgy. Biyan Calauag, Quezon
Bill To: CALAUAG MUNICIPAL (INFIRMARY) HOSPITAL Statement Date 3-Mar-2017
Statement # 002
Customer ID 0087

Remittance: Account Summary

To ensure proper credit, please enclose a copy of this statement Balance Due P 25,108.50
with your check and remit to:

Jidelicious Meal Stop

Maharlika Highway Brgy. Biyan .
Calauag, Quezon

Account Activity
INCLUSIVE DATES DESCRIPTION PAYMENT AMOUNT BALANCE
February 1-28, 2017 Breakfast (133 pax @ 49.50) 0.00 6,583.50 P 6,583.50
Lunch (131 pax @ 75.00) 0.00 9,825.00 P 9,825.00
Dinner (116 pax @75.00 ) 0.00 8,700.00 P 8,700.00
-Nothing Follows-

Amount in Words: Twenty Five Thousand One Hundred Eight Pesos and Fifty Centavos only Total P 25,108.50
Received By: Prepared By:

DR. KATHERINE P. RUBY JOANNE MARIE O. OLVIGA

Municipal Health Officer Proprietor
Date: ___________________ By: DIANA ROSE V. MORENO [42]

Date: _________________

Page 12 of 13
Jidelicious Meal Stop BILLING STATEMENT
Brgy. Biyan Calauag, Quezon
Bill To: CALAUAG MUNICIPAL (INFIRMARY) HOSPITAL Statement Date 6-Feb-2017
Statement # 001
Customer ID 0087

Remittance: Account Summary

To ensure proper credit, please enclose a copy of this statement Balance Due P 37,548.00
with your check and remit to:

Jidelicious Meal Stop

Maharlika Highway Brgy. Biyan .
Calauag, Quezon

Account Activity
INCLUSIVE DATES DESCRIPTION PAYMENT AMOUNT BALANCE
January 1 - 31, 2017 Breakfast (204 pax @ 49.50) 0.00 10,098.00 P 10,098.00
Lunch (186 pax @ 75.00) 0.00 13,950.00 P 13,950.00
Dinner (180 pax @75.00 ) 0.00 13,500.00 P 13,500.00
-Nothing Follows-

Amount in Words: Thirty Seven Thousand Five Hundred Forty Eight Pesos only Total P 37,548.00
Received By: Prepared By:

DR. KATHERINE P. RUBY JOANNE MARIE O. OLVIGA

Municipal Health Officer Proprietor
Date: ___________________ By: DIANA ROSE V. MORENO [42]

Date: _________________

Page 13 of 13