Acknowledgement Receipt: (Signature Over Printed Name / Date)

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ACKNOWLEDGEMENT RECEIPT

I, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, a resident of _ _ _ _ _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ hereby

received the amount of PESOS:

_________________________________________________ (Php__________) from

______________________________________________________ as payment for

______________________________________________________________________.

Received by:

_________________________________
(Signature over Printed Name / Date)

ACKNOWLEDGEMENT RECEIPT

I, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, a resident of _ _ _ _ _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ hereby

received the amount of PESOS:

_________________________________________________ (Php__________) from

______________________________________________________ as payment for

______________________________________________________________________.

Received by:
_________________________________
(Signature over Printed Name / Date)

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