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Acknowledgement
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Your online application has been submitted.
Your Batch Request Number is 0453-9006-0500-0105.
Please read the Payment and Delivery instructions below.
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CONTACT AND DELIVERY INFORMATION
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Requester's Name : MOLAR, JAN CARLO G.
Delivery Address : BLOCK 1 LOT 17 GENESIS AVENUE JUANA 6 SAN FRANCISC
BLOCK LOT GENESIS AVENUE JUANA 6 SAN FRANCISCO
BIÑAN, LAGUNA
PHILIPPINES 4024
Request Date : 06/05/2012
Batch Request Number: 0453-9006-0500-0105
Total No. of Copies
Requested :1
Total Amount Due : PHP 315.00
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REQUESTS SUMMARY
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Request Reference Number: 0453-9006-0500-1110
Request Type : COPY ISSUANCE - BIRTH CERTIFICATE
Request Details
Name : MOLAR, JAN CARLO GABAY
Event Date : 01/18/1996
Event Place: PIO DURAN, ALBAY, PHILIPPINES
Copies :1
Amount Due : PHP 315.00
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