ACKNOWLEDGEMENT RECEIPT

(TD No. 0043-00696)

This is to acknowledge the receipt of ONE HUNDRED THOUSAND PESOS (P

100,000.00), Philippine currency, to me in hand paid by MONA LABETI JOSE, Filipino, of
legal age, single, and a resident of Brgy. Manhilo, Maasin City, Southern Leyte,
representing full payment from the sale of a portion of a certain real property, situated
at Brgy. Manhilo, Maasin City, Southern Leyte, covered by TD No. 0043-00696, consisting
of 213 sq. m.

IN EVIDENCE WHEREOF, I have hereunto set my hand, this ______________ at

Maasin City, Southern Leyte, Philippines.

ESPERANZA SAMACO
Vendor

Signed in the presence of:

1.___________________ 2.______________________

SUBSCRIBED AND SWORN TO before me this _______________ at Maasin City,

Southern Leyte, Philippines.

Doc. No. _____

Page No. _____
Book No. _____
Series of 2019