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ALMANZA SOUTH PROPERTY CORP.

SEC. RG. No. CS201734468 – TIN No. 099-851-632-000

Acknowledgement Receipt Date: ______________

Received from _______________________________________________________ with


the address at __________________________________________ engaged in the
Business style of _______________________________________, the sum of
_____________________________________________________ pesos (₱__________) in
partial / full payment for _____________________________________________________.

Balance Due date on; _____________________________

In statement of the following


Particulars Amount

Total Amount:

Balance

Form of Payment

□ Check □ Cash
Bank: ___________ Check No: ___________ Date: ______________
Others: _________________________ Ref. No. ______________________

Received By: ______________________________


Cashier/Authorized Representative

Costumer’s Copy
ALMANZA SOUTH PROPERTY CORP.
SEC. RG. No. CS201734468 – TIN No. 099-851-632-000

Acknowledgement Receipt Date: ______________

Received from _______________________________________________________ with


the address at __________________________________________ engaged in the
Business style of _______________________________________, the sum of
_____________________________________________________ pesos (₱__________) in
partial / full payment for _____________________________________________________.

Balance Due date on; _____________________________

In statement of the following


Particulars Amount

Total Amount:

Balance

Form of Payment

□ Check □ Cash
Bank: ___________ Check No: ___________ Date: ______________
Others: _________________________ Ref. No. ______________________

Received By: ______________________________


Cashier/Authorized Representative

Admin’s Copy

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