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Republic of the Philippines)

Province of Sorsogon ) S.S.


City of Sorsogon )

ACKNOWLEDGMENT RECEIPT

I, Jennie Rachel Aparici being the Attorney-In-Fact of LILIA B. JIMENA


hereinafter referred to as the SELLER hereby acknowledge receipt of SIXTY ONE
THOUSAND PESOS (P61,000.00) from MADELYN L. TORALDE, of legal age,
Filipino, single, with residential address at Pangpang, Sorsogon City hereinafter
referred to as the BUYER, as partial payment for One Hundred Square Meters (100)
of a parcel of land designated as Land Survey No. 8035-D and ARP No. 2011-03-
0013-07390 approximately consisting of more or less 1.502 hectares situated in
Brgy. Pangpang, Sorsogon City.

Further, I hereby affirm that such contract is a valid and legitimate


undertaking and entered into in good faith not for the purpose of committing fraud.

LILIA B. JIMENA
SELLER
(Represented by Jennie Rachel Aparici)
Philhealth Id No. 10-025113788-3

MADELYN L. TORALDE
BUYER
VIN: 6216-0210A-K1682MLT20000

Signed in the presence of:

______________________ _____________________

SUBSCRIBED and SWORN to before this _____________________ at


Sorsogon City, affiant personally appeared with Valid Identification Card No.
written below their names.

Doc. No._______
Page No._______
Book No._______
Series of 2017