ACKNOWLEDGEMENT RECEIPT

TO WHOM IT MAY CONCERN:

That I, _________________, of legal age, Filipino citizen, with residence at Sumapa,

Matanda, Malolos City, Bulacan, have on this day received from _______________________, of legal
age, Filipino citizen, and a resident of Ilang-Ilang Street, Barangay Dakila, Malolos City, Bulacan, the
amount of SIXTY-THREE THOUSAND ONE HUNDRED PESOS (Php 63,100.00) Philippine
Currency, which will be held by me in trust on her behalf for the payment of her following
wedding suppliers before her wedding ceremony _______________:

 FULL LIGHTS AND SOUNDS – Twenty-six thousand Pesos (Php 26,000.00);

 FOOD – LUNCH from “Simple Kusina” worth 160 pesos for 60 persons – Nine
thousand six hundred Pesos (Php 9, 600.00);

 PHOTOBOOTH – Five Thousand Pesos (Php 5,000.00);

 MIRROR SELFIE Remaining Balance – Two Thousand Five Hundred Pesos (Php
2,500.00) Note – the payment has Php 1,000 returnable deposit;

 COORDINATION SERVICES of Ms. Darlyn Joy M. Estrella – Twenty Thousand

Pesos (Php 20,000.00);

IN WITNESS HERETO, I hereunto set my hand this ____________________ at Malolos City,

Bulacan, Philippines.

___________________________ ________________________

WITNESSES:

__________________ ____________________

SUBSCRIBED AND SWORN TO BEFORE ME this _____________________ at Malolos City,

Bulacan, Philippines.

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