Funeral Contract

Moonlight Funeral Services Inc.
Besides Goodspeed Cemetery, Brgy. Alas-asin, Mariveles, Bataan

SEC Reg. No.: 2021120034812-12
TIN No.: 605 – 271 – 458 – 000
“We committed to Serve from ‘Womb to Tomb!”
MEMORIAL SERVICE CONTRACT

Contract No.: ___2022-01____
PWD/SC No.: ____________________
Contract Date: January 13, 2022
For service rendered to the late: ______ DELFIN PACHECO ANDAYA ________
CONTRACTING PARTY / AUTHORIZED REPRESENTATIVE LIFE PLAN
Name Marta Pacheco Andaya Plan N/A
Address Sitio Maharlika, Alas-asin, Mariveles, Bataan Policy Number N/A
Contact Number 09304014306 Plan Holder Name N/A
Relation to the Balance N/A
Deceased WIFE / MARRIED
Plan Type N/A
Casket: OMS PLAIN (LLP)_______
Mortuary Arrangement: ___HOUSE VIEWING__
Hearse / Van: ______MOON LIGHT FUNERAL VAN and Funeral Chariot______________
Number of Viewing Days: ________5 DAYS_____________
Remarks: ____________________________________________
Others: ________________________________________________________________________________________
SCHEDULE OF INTERMENT ADD ON FREEBIES
Date / Time: January 20, 2022 Water Dispenser, Tarpaulin, Chairs and tables, Candles
Place: Sitio Maharlika, Alas-asin, Mariveles, Bataan

Additional Service(s): CONTRACT PRICE: 30,000
STIPULATION:
The undersigned /family hereby agrees to all the terms and conditions herein stipulated and hereby promises to pay Moonlight Funeral Services,
Inc. The cost services and other charges herein itemized ON OR BEFORE interment or cremation. The undersigned /family also agrees to the NO
PAYMENT, NO INTERMENT / NO CREMATION policy.
In case of complaint/s regarding the service rendered, the undersigned /family shall immediately inform the Company in order that appropriate and
expeditious action may be taken to address the complaint. Failure to immediate notify the Company shall be deemed to have performed its services. The
undersigned family also agrees that the Company shall not be liable for any damages, claims or causes of action attributable to the fault or negligence of
the deceased family /the undersigned or third parties. By signing, the undersigned /family agrees to all the stipulations and has read and understood and
conforms to the terms of the Release and Waiver set forth. Payable one (1) day before interment or cremation.
AL STEPHEN M. GULAPA
Contracting Party /Authorized Representative Family Care Representative
(Printed Name over Signature) (Printed Name over Signature)
SEC Reg. No.: 2021120034812-12
TIN No.: 605 – 271 – 458 – 000

Contract No.: _______2022 - 02_____
PWD/SC No.: ____________________
Contract Date: February 20, 2022
For service rendered to the late: _____JULITO BINOY DELCO_________

Name Joey A. Delco Plan N/A
Address Camaya street, Alas-asin, Mariveles, Bataan Policy Number N/A
Contact Number Plan Holder Name N/A
Deceased SON / SIBLING
Plan Type N/A
Remarks: ____________________________________________
Others: ________________________________________________________________________________________
Date / Time: February 25, 2022 Water Dispenser, Tarpaulin, Chairs and tables, Candles
Place: Alas-asin, Mariveles, Bataan

STIPULATION:
SEC Reg. No.: 2021120034812-12
TIN No.: 605 – 271 – 458 – 000

Contract No.: ______2022 – 03___________
PWD/SC No.: ____________________
For service rendered to the late: _ ROBERTO VILLANUEVA CONCEPTION_

Name Julieta Concepcion Reyes Plan N/A
Address Alas-asin, Mariveles, Bataan Policy Number N/A
Deceased DAUGHTER
Plan Type N/A
Remarks: ____________________________________________
Others: ________________________________________________________________________________________

STIPULATION:
SEC Reg. No.: 2021120034812-12
TIN No.: 605 – 271 – 458 – 000

Contract No.: _____2022 - 04______
PWD/SC No.: ____________________
For service rendered to the late: ___DODONG BAYANUKO DAVILA___________

Name Mae Davila Plan N/A
Address Sitio Dinginin, Alas-asin, Mariveles, Bataan Policy Number N/A
Deceased DAUGHTER
Plan Type N/A
Remarks: ____________________________________________
Others: ________________________________________________________________________________________
Place: Sitio Dinginin, Alas-asin, Mariveles, Bataan

STIPULATION:
SEC Reg. No.: 2021120034812-12
TIN No.: 605 – 271 – 458 – 000

Contract No.: ______2022 - 05___________
PWD/SC No.: ____________________
For service rendered to the late: ___MARFE BERENO SORIA____

Name Rosenda Soria Plan N/A
Address Alas-asin, Mariveles, Bataan Policy Number N/A
Deceased RELATIVES
Plan Type N/A
Remarks: ____________________________________________
Others: ________________________________________________________________________________________

STIPULATION:
SEC Reg. No.: 2021120034812-12
TIN No.: 605 – 271 – 458 – 000

Contract No.: ____2022 - 06__________
PWD/SC No.: ____________________
For service rendered to the late: ___GUILBERTO MAGANO RADA________

Name Cristine Magano Rada Plan N/A
Address Marina Beach, Alas-asin, Mariveles, Bataan Policy Number N/A
Deceased DAUGHTER
Plan Type N/A
Remarks: ____________________________________________
Others: ________________________________________________________________________________________
Place:
STIPULATION:
SEC Reg. No.: 2021120034812-12
TIN No.: 605 – 271 – 458 – 000

Contract No.: ____2022 - 07_______
PWD/SC No.: ____________________
Contract Date: March 24 , 2022
For service rendered to the late: _______WILFREDO GONZALES ULANDAY____

Name Cherrie Ulanday Plan N/A
Address Lavander Street, Alas-asin, Mariveles, Bataan Policy Number N/A
Deceased DAUGHTER
Plan Type N/A
Remarks: ____________________________________________
Others: ________________________________________________________________________________________
Date / Time: March 29, 2022 Water Dispenser, Tarpaulin, Chairs and tables, Candles
Place:
STIPULATION:
SEC Reg. No.: 2021120034812-12
TIN No.: 605 – 271 – 458 – 000

Contract No.: _____2022 - 08_________
PWD/SC No.: ____________________
Contract Date: May 2, 2022
For service rendered to the late: _______GEROME PEREZ DOLAR______

Name Danila R. Dolar Plan N/A
Address Dona Nene Alas-asin, Mariveles, Bataan Policy Number N/A
Deceased STEP-FATHER
Plan Type N/A
Remarks: ____________________________________________
Others: ________________________________________________________________________________________
Date / Time: May 7, 2022 Water Dispenser, Tarpaulin, Chairs and tables, Candles
Place:
STIPULATION:
SEC Reg. No.: 2021120034812-12
TIN No.: 605 – 271 – 458 – 000

Contract No.: _____2022 - 09__________
PWD/SC No.: ____________________
For service rendered to the late: ________RODA TAMBALO GALLEGUEZ___________

Name Delia Galleguez Plan N/A
Address Lavander Street, Alas-asin, Mariveles, Bataan Policy Number N/A
Deceased MOTHER
Plan Type N/A
Remarks: ____________________________________________
Others: ________________________________________________________________________________________
Place:
STIPULATION:
SEC Reg. No.: 2021120034812-12
TIN No.: 605 – 271 – 458 – 000

Contract No.: ____2022 - 10_______
PWD/SC No.: ____________________
For service rendered to the late: _________ALVIN ADONA PERIO____________

Name Marites P. Agustin Plan N/A
Address Dama de Noche, Alas-asin, Mariveles, Bataan Policy Number N/A
Deceased SISTER
Plan Type N/A
Remarks: ____________________________________________
Others: ________________________________________________________________________________________
Place:
STIPULATION:
SEC Reg. No.: 2021120034812-12
TIN No.: 605 – 271 – 458 – 000

Contract No.: ___2022-11____
PWD/SC No.: ____________________
For service rendered to the late: ____ JHEZZA ARTUZ DELA ROSA____
Name Edgardo E. Dela Rosa Plan N/A
Address Sitio Dapdap Alas-asin, Mariveles, Bataan Policy Number N/A
Contact Number 09702397277 Plan Holder Name N/A
Deceased GRAND- MOTHER
Plan Type N/A
Remarks: ____________________________________________
Others: ________________________________________________________________________________________

STIPULATION:
SEC Reg. No.: 2021120034812-12
TIN No.: 605 – 271 – 458 – 000

Contract No.: ____2022 -12______
PWD/SC No.: _________________
Contract Date: ___06/11/2022_____
For service rendered to the late: _ANSELMO VISCARA BORJA__

Name Adrian G. Borja Plan N/A
Address Sampaguita St. Alas-asin, Mariveles Policy Number N/A
Contact Number N/A Plan Holder Name N/A
Relation to the Son Balance N/A
Deceased
Plan Type LLP
Casket: ________________________________________
Mortuary Arrangement: ____________________________
Hearse / Van: ___________________________________
Number of Viewing Days: __________________________
Remarks: _______________________________________
Others: ________________________________________________________________________________________
Date / Time:
Place:
Additional Service(s): CONTRACT PRICE:
STIPULATION:
SEC Reg. No.: 2021120034812-12
TIN No.: 605 – 271 – 458 – 000

Contract No.: ____________________
PWD/SC No.: ____________________
Contract Date: ___________________
For service rendered to the late: _________________________________

Name Plan
Address Policy Number
Contact Number Plan Holder Name
Relation to the Balance
Deceased
Plan Type
Casket: ________________________________________
Mortuary Arrangement: ____________________________
Hearse / Van: ___________________________________
Number of Viewing Days: __________________________
Remarks: _______________________________________
Others: ________________________________________________________________________________________
Date / Time:
Place:
Additional Service(s): CONTRACT PRICE:
STIPULATION:

Funeral Contract

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Funeral Contract

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Moonlight Funeral Services Inc.

Besides Goodspeed Cemetery, Brgy. Alas-asin, Mariveles, Bataan

MEMORIAL SERVICE CONTRACT

Place: Sitio Maharlika, Alas-asin, Mariveles, Bataan

MEMORIAL SERVICE CONTRACT

For service rendered to the late: _____JULITO BINOY DELCO_________

Place: Alas-asin, Mariveles, Bataan

MEMORIAL SERVICE CONTRACT

For service rendered to the late: _ ROBERTO VILLANUEVA CONCEPTION_

Place: Alas-asin, Mariveles, Bataan

MEMORIAL SERVICE CONTRACT

For service rendered to the late: ___DODONG BAYANUKO DAVILA___________

Place: Sitio Dinginin, Alas-asin, Mariveles, Bataan

MEMORIAL SERVICE CONTRACT

For service rendered to the late: ___MARFE BERENO SORIA____

Place: Alas-asin, Mariveles, Bataan

MEMORIAL SERVICE CONTRACT

For service rendered to the late: ___GUILBERTO MAGANO RADA________

MEMORIAL SERVICE CONTRACT

For service rendered to the late: _______WILFREDO GONZALES ULANDAY____

MEMORIAL SERVICE CONTRACT

For service rendered to the late: _______GEROME PEREZ DOLAR______

MEMORIAL SERVICE CONTRACT

For service rendered to the late: ________RODA TAMBALO GALLEGUEZ___________

MEMORIAL SERVICE CONTRACT

For service rendered to the late: _________ALVIN ADONA PERIO____________

MEMORIAL SERVICE CONTRACT

Place: Alas-asin, Mariveles, Bataan

MEMORIAL SERVICE CONTRACT

For service rendered to the late: _ANSELMO VISCARA BORJA__

MEMORIAL SERVICE CONTRACT

For service rendered to the late: _________________________________

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For service rendered to the late: _JULITO BINOY DELCO_____

For service rendered to the late: _DODONG BAYANUKO DAVILA_________

For service rendered to the late: _MARFE BERENO SORIA__

For service rendered to the late: _GUILBERTO MAGANO RADA______

For service rendered to the late: ___WILFREDO GONZALES ULANDAY

For service rendered to the late: _GEROME PEREZ DOLAR

For service rendered to the late: RODA TAMBALO GALLEGUEZ___

For service rendered to the late: _ALVIN ADONA PERIO____