PEPIN INSURANCE, S.A. No.
Page: 01 of 01
RECEIPT OF DEPOSIT BY CASH DATE: 04/04/2019
BRANCH SANTIAGO Tel.: (809)582-2881 No. Cash Receipt: 3060927
RNC: 101013311
We received from : STARLIN DARIO COLLADO CASTAÑO
By the Sum of : two thousand five hundred and 00/100
By concept of : INITIAL PAYMENT
Tipo No. Recibo No. Poliza Intermediary Collector Manager Amount Paid
01 0000001 051 3185107 00997 02000 2,500.00
Agent : 00997 MAIN AGENCY TOTAL: 2,500.00
Collector : 02000 DIRECT COLLECTIONS
No. Page 01 of 01
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No. Cash Receipt: 3060927 Company Cashier: OSCAR_FR
PEPIN INSURANCE, S.A. No. Page: 01 of 01
CASH DEPOSIT RECEIPT DATE: 04/04/2019
BRANCH SANTIAGO Tel.: (809)582-2881 No. Cash Receipt: 3060927
RNC: 101013311 C O P Y
We received from : STARLIN DARIO COLLADO CASTAÑO
For the sum of : two thousand five hundred and 00/100
By concept of : INITIAL PAYMENT
Tipo No. Recibo No. Poliza Intermediary Collector Manager Amount Paid
01 0000001 051 3185107 00997 02000 2,500.00
Agent : 00997 MAIN AGENCY TOTAL: 2,500.00
Collector : 02000 DIRECT COLLECTIONS
No. Page 01 of 01
-------------------------------------
No. Cash Receipt: 3060927 Company Cashier: OSCAR_FR
PEPIN INSURANCE, S.A. No. Page: 01 of 01
CASH RECEIPT DATE: 04/04/2019
BRANCH SANTIAGO Tel.:(809)582-2881 No. Cash Receipt: 3060927
RNC: 101013311 C O P Y
We received from : STARLIN DARIO COLLADO CASTAÑO
By the Sum of : two thousand five hundred with 00/100
By concept of : INITIAL PAYMENT
Tipo No. Recibo No. Poliza Intermediary Collector Manager Amount Paid
01 0000001 051 3185107 00997 02000 2,500.00
Agent : 00997 MAIN AGENCY TOTAL: 2,500.00
Collector : 02000 DIRECT COLLECTIONS
No. Page 01 of 01
-------------------------------------
No. Receipt of Cash: 3060927 Company Cashier: OSCAR_FR
PEPIN INSURANCE, S.A. No. Page: 01 de 01
RECEIPT OF INCOME BY CASH FECHA: 04/04/2019
BRANCH SANTIAGO Tel.: (809)582-2881 No. Cash Receipt: 3060927
RNC: 101013311 C O P Y
We received from : STARLIN DARIO COLLADO CASTAÑO
For the Sum of : two thousand five hundred and 00/100
For the concept of : INITIAL PAYMENT
Tipo No. Recibo No. Poliza Intermediary Collector Manager Amount Paid
01 0000001 051 3185107 00997 02000 2,500.00
Agent : 00997 MAIN AGENCY TOTAL: 2,500.00
Collector : 02000 DIRECT COLLECTIONS
No. Page 01 of 01
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No. Cash Receipt: 3060927 Company Cashier: OSCAR_FR