order slip

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Name: Lara Castro Home Address: 37 Daisy Road Pilar Village, Las Pinas City Office Address: N/A Landline No: 8024305 Mobile No: 09163012116 E-mail: [email protected] ITEM PRICE QUANTITY TOTAL 50-Piso Coin with packaging P100 1 P100 500-Piso Coin in box P1,000 _______ _______ Grand Total: P100 Preferred Payment and Claiming Location (Choose one only) Cash Department Counter Bangko Sentral ng Pilipinas- Manila Cash Department BSP-Security Plant Complex BSP Regional Offices and Branches Cebu Regional Office La Union Regional Office Davao Regional Office Bacolod Branch Batac Branch Butuan Branch Cabanatuan Branch Cagayan De Oro Branch Cotabato Branch Dagupan Branch Dumaguete Branch General Santos Branch Iloilo Branch Legazpi Branch

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BSP Papal Coin

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corrected Reservation Form-50-500

Name: Lara CastroHome Address: 37 Daisy Road Pilar Village, Las Pinas CityOffice Address: N/ALandline No: 8024305Mobile No: 09163012116E-mail: [email protected] ITEM PRICE QUANTITY TOTAL 50-Piso Coin with packaging P100 1 P100 500-Piso Coin in box P1,000 _______ _______ Grand Total: P100 Preferred Payment and Claiming Location (Choose one only)

Cash Department Counter Bangko Sentral ng Pilipinas-Manila Cash Department BSP-Security Plant Complex

BSP Regional Offices and Branches Cebu Regional Office La Union Regional Office Davao Regional Office Bacolod Branch Batac Branch Butuan Branch Cabanatuan Branch Cagayan De Oro Branch Cotabato Branch Dagupan Branch Dumaguete Branch General Santos Branch Iloilo Branch Legazpi Branch Lucena Branch Naga Branch Ozamiz Branch Roxas Branch San Fernando Branch Tacloban Branch Tuguegarao Branch Zamboanga Branch