BIR Form No.

Republika ng Pilipinas Certificate of Creditable Tax

Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Withheld At Source 2307
September 2005 (ENCS)

1 For the Period 09 01 18 09 30 18

From (MM/DD/YY) To (MM/DD/YY)
Part I Payee Information
2 Taxpayer
200 035 311 00141
Identification Number
Ace Hardware
3 Payee's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 2/F Puregold Bldg., Ayala Malls Marikina, Liwasang Kalayaan, Brgy, Marikina Heights Marikina 4A Zip Code 1810
City
5 Foreign Address 5A Zip Code

Payor Information
6 Taxpayer
001 966 461 000
Identification Number
METRO GAS SALES, INC
7 Payor's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 61 EASTDRIVE APITONG MARIKINA HEIGHTS MARIKINA 8A Zip Code 1810

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
WC160 503.57 503.57 5.04

Total
Money Payments Subject to Withholding
of Business Tax (Government & Private)

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is true and correct,
pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

DENNIS SAN JUAN 183-686-115-000 GENERAL MANAGER

Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:

Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry