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    QC E Services

    Uploaded by

    arnaldojudith

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    QC E Services

    Uploaded by

    arnaldojudith
    34 views2 pages

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    34 views2 pages

    QC E Services

    Uploaded by

    arnaldojudith

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Republic of the Philippines

    Quezon City
    Quezon City Health Department

    Order of Payment
    Health Certificate

    The City Treasurer Bldg.


    Miscellaneous Section

    Sir / Madam:

    Please accept payment from Mr. / Ms. JUDITH ARNALDO BAUTISTA the amount of ₱300.00
    Computed as follows:

    Name Amount

    Health Certificate Fee 613-004 ₱75.00

    HIV/AIDS Seminar Fee ₱50.00

    Massagist Course Fee ₱0.00

    VD Clearance/Smear Fee ₱0.00

    Laboratory Fees

    Stool Exam ₱65.00

    Sputum/Xray Exam ₱110.00

    Health Occupancy Permit Fee 605-010 ₱0.00

    Total ₱300.00
    RAMONA ASUNCION DG. ABARQUEZ M.D. MPH
    Authorized Personnel

    Paid under O.R. #:


    Date:

    Reference No.: M1013713H

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