RepublikangPilipinasKagawaranngPananalapiKawanihanngRentasInternas

eFPSPaymentDetailsTIN :104480617000Name :ROLDANAGNESRELAMPAGOSTaxPeriod :03/04/2015ReferenceNumber :291500010688007TaxType :MC

PaymentTransactionNumber :158587221Date :03/04/2015CashAmountPaid :100.00Bank :003000BANCNETCHINABANK

Origin BankCode Amount Number Date Status Message CBRBCSNo.OnlineConfirmation 003000 100.00 610025 03/04/2015 Authorized 0Successful 0

NoAvailableBatchConfirmationNoAvailableBatchAcknowledgement

TotalPayments(Successful/Unsuccessful):100.00TotalPayments(Successful):0.00

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