___________________

Date

ACKNOWLEDGEMENT RECEIPT

WE, Sps. ANGELITO ZAMORA CAPA and MARY ANN G. CAPA, of legal age, Filipino and
resident of Blk. 10, Lot 14, Area-H, San Rafael, City of San Jose del Monte, Bulacan, do hereby
received the amount of ONE HUNDRED FIFTY THOUSAND (Php150,000.00) PESOS, Philippine
Currency, from Sps. ARJAY PAET & PINKY ROSE PAET, both of legal age, Filipinos, and a
resident of # 43 Dona Josefa Avenue Village, Almanza Uno Las Pinas City, as full payment for
our lot situated at Brgy. San Rafael, City of San Jose Del Monte, Bulacan, covered by TCT. NO.
T-494458(M) Containing an area of TWO HUNDRED (200) SQUARE METERS.

Acknowledged and received by:

ANGELITO ZAMORA CAPA

Vendor

MARY ANN G. CAPA

Vendor
With our conformity:

ARJAY PAET
Vendee

PINKY ROSE PAET

Vendee

WITNESSED BY:

______________________________ _______________________________
1. PRINTED NAME/SIGNATURE 2. PRINTED NAME/SIGNATURE

A C K N O W L E D G M E N T :
REPUBLIC OF THE PHILIPPINES )
CITY OF M A L O L O S ) S.S.
PROVINCE OF BULACAN )

SUBSCRIBED AND SWORN to before me, This day of_______________ hereat Malolos City,
Bulacan.

ATTY. JOSE M. CASTRO

DOC. NO. : ______ NOTARY PUBLIC
PAGE NO. : ______ UNTIL DECEMBER 31, 2017
BOOK NO.: ______ PTR. NO.: 1792198
SERIES OF 2017 ISSUED ON: Jan.03, 2017
ISSUED AT: MALOLOS, BULACAN