ACKNOWLEDGEMENT RECEIPT Broker Format

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ACKNOWLEDGEMENT RECEIPT

APRIL 4, 2023

Received from JEZAH RAY DECRIPITO of Bacolod City the amount of Fifteen Thousand pesos
(Php 15,000.00) as partial payment of the Commission for selling Blk 14 Lot 30, Deca Homes
South, Bacolod City

RECEIVED PARTIAL PAYMENT

TROY VILLANUEVA
Broker Name

Signed in the Presence of:

____________________________

REPUBLIC OF THE PHILIPPINES )


PROVINCE OF NEGROS OCCIDENTAL S.S
CITY OF BACOLOD )
X-------------------------------------------------X

BEFORE ME, a Notary Public for and in the Province of Negros Occidental this
________________, personally appeared JEZAH RAY DECRIPITO with ID Number 742 892
837 and ______________________with ID Number ______________ known to me and to me
known to be the same persons who executed the foregoing instrument which they acknowledged
before me as their free voluntary act and deed and that of the Corporation which
______________________represents.

WITNESS MY HAND AND SEAL this ________________ at City of Bacolod, Philippines.

Doc. No. _______;


Page No. _______;
Book No. _______;
Series of 2020.

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