SM PRIME HOLDINGS INC

SM CITY ILOILO
Benigno Aquino Ave Mandurriao
Iloilo City,
VAT Reg. TIN 003-058-789-00027

STATEMENT OF ACCOUNT

Customer No.: 0100007653 SOA No.: SMCI-2017-00013888

Corporate Name: MARIE DOMINIQUE GALLINERO PERFECTO Statement Date: 28.02.2017
Address: JFK APARTMENT 146 M H DEL PILAR ST MOLO ILOILO CITY PH Payment Due Date: 15.03.2017
TIN: 412-622-286-00000
Beginning Balance Payment / Adjustment Rental / Charges for the month Total Amount Due
239,374.38 245,346.71- 341,378.34 335,406.01

BEGINNING BALANCE 239,374.38

PAYMENT
Posting_Date SAP Doc_No. Description Receipt_No.
14.02.2017 3500025512 Bills Payment AR-0008000056 24,125.43-
14.02.2017 3500025512 A/R - CEWT OR-0800053773 5,972.33-
14.02.2017 3500025512 Bills Payment OR-0800053773 215,248.95-

OVERDUE BALANCE (Please pay immediately) 5,972.33-

FOR THE MONTH OF February 2017

PTU NO. 0316-126-00370-CBA/AR

Date Issued: 01/01/2016
Range of Series: 00000001 to 99999999

THIS DOCUMENT IS NOT VALID FOR CLAIM OF INPUT TAX

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user id: SCMC.CAG
SM PRIME HOLDINGS INC
SM CITY ILOILO
Benigno Aquino Ave Mandurriao
Iloilo City,
VAT Reg. TIN 003-058-789-00027

STATEMENT OF ACCOUNT

Customer No. Customer Name SOA No. Statement Date

0100007653 MARIE DOMINIQUE GALLINERO PERFECTO SMCI-2017-00013888 28.02.2017

LOCATION CODE: Food Sta AREA IN SQM: 32.0200 TRADE NAME: PUB EXPRESS PAYMENT DUE DATE: 15.03.2017

RENTAL CHARGES
Posting_Date Doc_No. Description Sales Cert_Sales Rate Minimum
28.02.2017 7700052324 * 01.02.2017-28.02.2017: Recvbl. from Sa 1,070,949.64 15.00 70,444.00 160,642.45
Total Rent 160,642.45
28.02.2017 7700052324 Output Tax Payable - Services 19,277.09
Total: Value Added Tax 19,277.09
NET RENT DUE 179,919.54

REIMBURSABLE CHARGES
Posting_Date Doc_No. Description Prev_Reading Current_Reading Usage
28.02.2017 7600072354 Reimb Charges - Water 377.00 402.00 25.00 2,250.00
28.02.2017 7600085272 Reimb Charges - Electricity 11299.16 12418.78 1119.62 11,834.38
28.02.2017 7600077150 Reimb Charges - CAMC - Pest Control 320.20
28.02.2017 7600077150 Reimb Charges - CAMC - Bio-Augmentation 1,265.00
28.02.2017 7600077150 Reimb Charges - CAMC - Exhaust Cleaning 4,500.00
28.02.2017 7600094269 *27.02.2017-27.02.2017-RC-Elec.Charges- 537.42
Vat Exempt
28.02.2017 7600128563 Reimb Charges - Common Area 53,547.48
Total Reimbursable Charges 74,254.48
28.02.2017 7600072354 Output Tax Payable - Services 270.00
28.02.2017 7600077150 Output Tax Payable - Services 38.42
28.02.2017 7600077150 Output Tax Payable - Services 151.80
28.02.2017 7600077150 Output Tax Payable - Services 540.00
28.02.2017 7600085272 Output Tax Payable - Services 1,420.13
28.02.2017 7600128563 Output Tax Payable - Services 6,425.70
Total: Value Added Tax 8,846.05
TOTAL REIMBURSABLE CHARGES 83,100.53

OTHER CHARGES
Posting_Date Doc_No. Description Ref_Doc_Type Contract No.
27.02.2017 7300043915 Interest on late payment - February, 2017 ZL 11011776 390.23
27.02.2017 7300065336 Reversal of Interset- Feb 2017 ZL 11011776 390.23-

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user id: SCMC.CAG
THIS DOCUMENT IS NOT VALID FOR CLAIM OF INPUT TAX
SM PRIME HOLDINGS INC
SM CITY ILOILO
Benigno Aquino Ave Mandurriao
Iloilo City,
VAT Reg. TIN 003-058-789-00027

STATEMENT OF ACCOUNT

Customer No. Customer Name SOA No. Statement Date

0100007653 MARIE DOMINIQUE GALLINERO PERFECTO SMCI-2017-00013888 28.02.2017

LOCATION CODE: Food Sta AREA IN SQM: 32.0200 TRADE NAME: PUB EXPRESS PAYMENT DUE DATE: 15.03.2017

28.02.2017 3200006877 *28.02.2017-28.02.2017-Documentary Stamp YQ 11011776 847.00

28.02.2017 6300001202 *01.02.2017-01.02.2017-Ad Fund ZA 11011776 10,000.00
28.02.2017 6800003928 *01.02.2017-01.02.2017-Security Deposit - Rentable ZK 11011776 38,424.00
28.02.2017 7200000428 *01.02.2017-01.02.2017-Advance Rent - Rentable ZD 11011776 6,404.00
TOTAL OTHER CHARGES: 55,675.00

MERCHANDISE
Posting_Date Doc_No. Description Ref_Doc_Type Ref_SI/CM No.
02.02.2017 5700033170 Output Tax Payable - Goods Other Than Cap Goods YH SI No.A08047275 1,467.04
14.02.2017 5700033171 Output Tax Payable - Goods Other Than Cap Goods YH SI No.A08047276 963.31
02.02.2017 5700033170 Sales - Merchandise (SD) YH SI No.A08047275 12,225.33
14.02.2017 5700033171 Sales - Merchandise (SD) YH SI No.A08047276 8,027.59
TOTAL MERCHANDISE: 22,683.27

APPLICATION OF DEPOSITS
Posting_Date Doc_No. Description Ref_Doc_Type Receipt No.
TOTAL APPLICATION DEPOSITS: 0.00

TOTAL FOR LOCATION CODE: Food Stall 1 341,378.34

TOTAL AMOUNT DUE: 335,406.01

PAYMENT ADVICE
00054330100007653-0
Please settle your account through BDO or CBC Bills Payment System or BDO Corporate
Customer No.: 0100007653-0 Statement Date: February 28, 2017
Internet Banking.
Corporate Name: MARIE DOMINIQUE GALLINERO PERFECTO Please present this statement when making payment for validation purposes.
Product Code: 433 - SMCI-Foodhall Please make checks payable to SM PRIME HOLDINGS INC.

Institution Code: 0005 Payment Due Date: 15.03.2017 Please advise if any payment made is not reflected in this statement.

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user id: SCMC.CAG
THIS DOCUMENT IS NOT VALID FOR CLAIM OF INPUT TAX
SM PRIME HOLDINGS INC
SM CITY ILOILO
Benigno Aquino Ave Mandurriao
Iloilo City,
VAT Reg. TIN 003-058-789-00027

STATEMENT OF ACCOUNT

Customer No. Customer Name SOA No. Statement Date

0100007653 MARIE DOMINIQUE GALLINERO PERFECTO SMCI-2017-00013888 28.02.2017

PLEASE DEDUCT EWT USING THE FOLLOWING RATES

Rental 5%
Reimbursable Charges and Other Charges (If Customer belongs to Top 20,000 Corporation) 2%
Merchandise Sales (If Customer belongs to Top 20,000 Corporation) 1%

AGING SCHEDULE

TOTAL RECEIVABLE 01-30 Days 31-60 Days 61-90 Days 90-120 Days Over 120 Days

335,406.01 335,406.01

PAYMENT ADVICE

00054330100007653-0
Customer No.: 0100007653-0 Statement Date: February 28, 2017 Please settle your account through BDO or CBC Bills Payment System or BDO Corporate

Internet Banking.
Corporate Name: MARIE DOMINIQUE GALLINERO PERFECTO
Please present this statement when making payment for validation purposes.
Product Code: 433 - SMCI-Foodhall
Please make checks payable to SM PRIME HOLDINGS INC.
Institution Code: 0005 Payment Due Date: 15.03.2017
Please advise if any payment made is not reflected in this statement.

Note: This is a system generated document. Signature is not required if there is no alteration.

PTU NO. 0316-126-00370-CBA/AR

Date Issued: 01/01/2016
Range of Series: 00000001 to 99999999

THIS DOCUMENT IS NOT VALID FOR CLAIM OF INPUT TAX

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