Acknowledgement Receipt

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A/R NO.

:__________________

ACKNOWLEDGEMENT RECEIPT

Received from CAUYONAN INTEGRATED SCHOOL S


(Name of School)

The amount of __________________________________ (P__________) for payment of the


following:
ITEM Unit Quantity Unit Price Amount
Firewood bundle

___________________________________________
Seller’s Name and Signature
Contact Number: _____________________
Date Signed: ________________________

Certified: Inspected by: Received by:

CHILLY JAY G. PADERO ELLAINE C. BORRINAGA MELDA B. MANDAPITAN


Name of Purchaser Designated Inspector HE Teacher/Feeding Coordinator

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