REPUBLIC OF THE PHILIPPINES)

PROVINCE OF PANGASINAN) S.S

CITY OF URDANETA)

X________________X

ACKNOWLEDGEMENT OF DEBT

AND PROMISSORY NOTE

TO WHOM IT MAY CONCERN:

FOR VALUED RECEIVED, I FLORDELIZA RINCURAYA of legal age, Filipino, and resident of Brgy
Tulong, Urdaneta City, Pangasinan.

That I have indebted the amount of ONE HUNDRED EIGHTY THOUSAND PESOS Philippine
currency to JERRY B. DELA CRUZ, of legal age, Filipino, and resident of brgy. Nancalobasaan, Urdaneta
City, Pangasinan.

That I do hereby PROMISE to pay the said PHP 180,000 within 100 days upon the execution of
this instrument.

IN WITNESS WHEREOF, We have here unto set my hand this 11 th day of March, 2020 at
Urdaneta City, Pangasinan.

CONFORME:

JERRY B. DELA CRUZ FLORDELIZA RINCURAYA

SIGNED IN THE PRESENCE OF:

______________________&_____________________

SUBSCRIBE AND SWORN to before me this 11 th day of March, 2020 at Urdaneta City, Pangasinan.