CONVERGE ICT SOLUTIONS, INC.

Reliance Center Annex 1, #99 E. Rodriguez Jr. Avenue, Bo. Ugong. Pasig City 1604
Tel. No.: (02) 667-0888 | Fax No.: (02) 667-0895 to 96
VAT Reg. TIN:

STATEMENT OF ACCOUNT

JAMISOLAMIN, MARGIE JOAN MIQUIABAS Account Number SOA Number

17 2F E LADY ALLEN APART E. AGUINALDO ST. -- 0020230219780 0020230219780-0419
SANTA LUCIA QUEZON CITY METRO MANILA
Statement Date Billing Period
April 1, 2019 April 1-30, 2019
Minimum Due Total Amount Due Date Plan
PHP 0.00 PHP (318.65) April 20, 2019 FIBER X 2500 75MBPS
(PROMO INITIAL FEES)

PREVIOUS CHARGES:
Previous Bill balance PHP 0.00
Payments received (Thank you) PHP 2,943.65
Remaining balance from Previous Bill PHP (2,943.65)
Adjustments PHP 0.00
CURRENT CHARGES:
Installation 111.61
Main line fee April 1-30, 2019 2,232.14
VAT 281.25
Total Current Charges PHP 2,625.00
TOTAL AMOUNT DUE: PHP (318.65)

IMPORTANT REMINDERS
Thank you for paying your monthly subscription fees promptly. We appreciate your efforts for keeping your
account updated from time to time. Rest assured that we are doing our best to provide you only the best
quality internet service.Please examine the charges in your statement of account and advise our Billing
Department of any discrepancy within 15 days from statement date, otherwise this statement of account
will be considered correct. Please disregard if payments have been made.

Please attach this billing stub when making payments

Account number: 0020230219780 Due Date: April 20, 2019

Name: JAMISOLAMIN, MARGIE JOAN MIQUIABAS Total Amount Due: PHP (318.65)
Billing Address: 17 2F E LADY ALLEN APART E. SOA number: 0020230219780-0419
AGUINALDO ST. -- SANTA LUCIA QUEZON CITY METRO Contact no.: 09081975044
MANILA

Ì0020230219780-0419-PS-0089325oÎ
0020230219780-0419-PS-0089325

Received by: _________________________________ _________________________________

Signature over Printed Name Date and Time

FORTIS TECHNOLOGIES CORP. Accreditation No: 43B0083984782018121028

4th Flr. Reliance Center Bldg, Date of accreditation: December 14, 2018
#99 E. Rodriguez Jr. Avenue, Bgry. Ugong, Pasig City Date of Expiry: no expiry
TIN: 008-398-478-00000
THIS INVOICE/RECEIPT SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF THE PERMIT TO USE