Republic of the Philippines)

City of Oroquieta ) S.S.

Acknowledgment Receipt

This is to acknowledge the receipt of TEN THOUSAND PESOS (Php: 10, 000.00)
from DAISY E. BAJADE, of legal age, Filipino, marriedNAJDORF P. PABUAYA and a
resident of Upper Langcangan, Oroquieta Cityas additional paymentfor the sale over a
portion of land covered under Tax Declaration No. 267363 with Lot No. 6063, CAD-310-
D, containing an area of 200 SQUARE METERS for the month of September 2022.

Receive this ____________________, Oroquieta City.

FLORABEL SATORE MORI

VENDOR
Driver’s License: K12-20-001097

SUBSCRIBED AND SWORN TO, before me this ________________________, at

Oroquieta City.

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 2022.