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ACKNOWLEDGEMENT RECEIPT ACKNOWLEDGEMENT RECEIPT ACKNOWLEDGEMENT RECEIPT

Number 00001 Number 00001 Number


DATE: DATE: DATE:

RECEIVED FROM: RECEIVED FROM: RECEIVED FROM:


AMOUNT: TOR/CERTIFICATION AMOUNT: TOR/CERTIFICATION AMOUNT: TOR/CERTIFICATION
COG/CAV COG COG
GOOD MORAL GOOD MORAL GOOD MORAL
CTC CTC CTC
DST DST DST
TOTAL TOTAL TOTAL

ELENA TELMO ELENA TELMO ELENA TELMO


COLLECTING OFFICER COLLECTING OFFICER COLLECTING OFFICER

ACKNOWLEDGEMENT RECEIPT ACKNOWLEDGEMENT RECEIPT ACKNOWLEDGEMENT RECEIPT

Number 00001 Number 00001 Number


DATE: DATE: DATE:

RECEIVED FROM: RECEIVED FROM: RECEIVED FROM:


AMOUNT: TOR/CERTIFICATION AMOUNT: TOR/CERTIFICATION AMOUNT: TOR/CERTIFICATION
COG COG COG
GOOD MORAL GOOD MORAL GOOD MORAL
CTC CTC CTC
DST DST DST
TOTAL TOTAL TOTAL

ELENA TELMO ELENA TELMO ELENA TELMO


COLLECTING OFFICER COLLECTING OFFICER COLLECTING OFFICER

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