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Republic of the Philippines

Bangsamoro Autonomous Region in Muslim Mindanao


MINISTRY OF HEALTH
INTEGRATED PROVINCIAL HEALTH OFFICE
Jolo, Sulu

ACKNOWLEDGEMENT RECEIPT

This is to acknowledge that I have received the amount of _______________________________

________________________________________________(P) ) representing payment for

____________________________________________________________________________________.

_______________________________________
Signature Over Printed Name

___________________________
Date
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
MINISTRY OF HEALTH
INTEGRATED PROVINCIAL HEALTH OFFICE
Jolo, Sulu

ACKNOWLEDGEMENT RECEIPT
This is to acknowledge that I have received from Integrated Provincial Health Office – Sulu the
amount of ________________________________________________ (P) ) representing
payment for __________________________________________________________________________.

_______________________________________
Signature Over Printed Name

___________________________
Date

ACKNOWLEDGEMENT RECEIPT
This is to acknowledge that I have received from Ministry of Health - BARMM the amount of
________________________________________________ (P) ) representing payment for
______________________________________________________________________________.

_______________________________________
Signature Over Printed Name

___________________________
Date

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