RECEIPT Date 2/2/2023 No.

180

Received From Amount $

Amount

For Payment of

From 2/2/2023 to 2/4/2023 Paid by [ ] Cash

[ ] Check No.

Received By [42] √ Bank Transfer

Name

Address Phnom Penh Account Amt $

Phone This Payment $

Balance Due $

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 180

Dollars

ank Transfer