Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

R5L Water Refilling Station R5L Water Refilling Station

Brgy. Comadogcadog, Del Gallego Cam. Sur Brgy. Comadogcadog, Del Gallego Cam. Sur

ACKNOWLEDGEMENT RECEIPT ACKNOWLEDGEMENT RECEIPT

Date:____________________ Date:____________________

RECEIVED FROM: ______________________________ RECEIVED FROM: ______________________________

DESCRIPTION DESCRIPTION

PARTICULARS AMOUNT PARTICULARS AMOUNT

BLUE CONTAINER P BLUE CONTAINER P

ROUND CONTAINER ROUND CONTAINER

350ML BOTTLES 350ML BOTTLES

OTHERS: OTHERS:
TOTAL AMOUNT PAID P TOTAL AMOUNT PAID P

RECEIVED PAYMENT BY: ______________________________ RECEIVED PAYMENT BY: ______________________________

R5L Water Refilling Station R5L Water Refilling Station


Brgy. Comadogcadog, Del Gallego Cam. Sur Brgy. Comadogcadog, Del Gallego Cam. Sur

ACKNOWLEDGEMENT RECEIPT ACKNOWLEDGEMENT RECEIPT

Date:____________________ Date:____________________

RECEIVED FROM: ______________________________ RECEIVED FROM: ______________________________

DESCRIPTION DESCRIPTION

PARTICULARS AMOUNT PARTICULARS AMOUNT

BLUE CONTAINER P BLUE CONTAINER P

ROUND CONTAINER ROUND CONTAINER

350ML BOTTLES 350ML BOTTLES

OTHERS: OTHERS:
TOTAL AMOUNT PAID P TOTAL AMOUNT PAID P

RECEIVED PAYMENT BY: ______________________________ RECEIVED PAYMENT BY: ______________________________

You might also like