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ACKNOWLEDGMENT RECEIPT

KNOW ALL MEN BY THESE PRESENTS:

This is to acknowledge that I, LEONARDO M. QUEJA, of legal age,


Filipino citizen and a resident of Brgy. Payac, Bangui, Ilocos Norte, Philippines,
received the amount of TWO HUNDRED FIFTY THOUSAND PESOS
(P250,000.00), Philippine currency, in cash, from GRACE GALAT, of legal age,
Filipino citizen, and a resident of Brgy. Banban, Bangui, Ilocos Norte, as full
payment for three (3) parcels of land more particularly described as follows:

1. A parcel of land (Lot No. 17165, Cad-734-D), situated in Brgy. Banban,


Bangui, Ilocos Norte. Bounded on the NW., along line 1-2 by Lot 17164,
Cad 734; on the NE., along line 2-3 by Lot 16923, Cad. 734-D; on the
SE., along line 3-4 by Lot 17168, Cad 734-D; and on the SW., along line
4-1, by Lot 17163, Cad 734-D); containing an area of One Thousand
Six Hundred Thirty (1,630) square meters, covered by Katibayan ng
Orihinal na Titulo Blg. 2011000426;

2. A parcel of land (Lot No. 17163, Cad-734-D), situated in Brgy. Banban,


Bangui, Ilocos Norte. Bounded on the NE., along line 1-2 by Lot 17165,
Cad 734-D; on the SE., SW., and NW., along lines 2-3-4-5-6-7 by
Irrigation Canal (3.0 meter wide); and on the NE., along line 7-1 by Lot
17164, Cad. 734-D; containing an area of One Thousand Five Hundred
Ninety Five (1,595) square meters, covered by Katibayan ng Orihinal
na Titulo Blg. P-80220; and

3. A parcel of land (Lot No. 17167, Cad-734-D), situated in the Brgy.


Banban, Bangui, Ilocos Norte. Bounded on the SW., along lines 1-2-3
by Lot 17166, Cad 734-D; on the NW., along lines 4-5-6-7 by Irrigation
Cana; (3.0 meter wide); on the NE. and SE., along lines 7-8-9-10-11 by
Lot 17168, Cad 734-D; and on the SE. and SW., along lines 11-12-13
by Lot 17162, Cad 734-D; and on the SW., along line 13-1 by Lot
17166, Cad 734-D; containing an area of Two Thousand and Fifty
Three (2,053) square meters, covered by Katibayan ng Orihinal na
Titulo Blg. P-80422.

Laoag City, Ilocos Norte, Philippines. __________________.

LEONARDO M. QUEJA
ID No. __________________

Witnessed by: ______________________ __________________________

REPUBLIC OF THE PHILIPPINES)


PROVINCE OF ILOCOS NORTE ) S.S.
CITY OF LAOAG

BEFORE ME, this _________________________, at Laoag City, Philippines, personally


appeared the parties, known to me and to me known to be the same persons who executed the
foregoing Acknowledgment Receipt signed by them and their witnesses, and they acknowledge
to me that the same is their voluntary act and deed.

WITNESS MY HAND AND SEAL, this ______________________ at Laoag City, Philippines.

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