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ACKNOWLEDGEMENT RECEIPT

I, ROGELIO G. LAQUITE, of legal age, married, Filipino, and a resident of Vida Grande,
Dapitan, Pototan, Iloilo, Philippines, being the VENDOR, hereby acknowledge receipt in full from
LILINA A. DAVIS, of legal age, Filipino, married and a resident of Vida Grande Subd., Dapitan,
Pototan, the sum of TWO HUNDRED FORTY THOUSAND (P240,000.00), Philippines Currency, over
a parcel of land, which is more particularly described as LOT 21 and LOT 23 BLK. 16, SITUATED IN
BRGY. OF DAPITAN, MUN. OF POTOTAN, PROVINCE OF ILOILO, ISLAND OF PANAY……… Containing
an area of ONE HUNDRED SIXTY (160) SQUARE METERS more or less, with all the improvements
thereon, covered by TRANSFER CERTIFICATE OF TITLE NO.090-2018002212 AND TITLE NO.090-
2018002213.
DONE THIS ____ day of ________ 2018, in Iloilo City, Philippines.

ROGELIO G. LAQUITE
VENDOR
VIN: 3037-0023A-J2746RGL10000

SUBSCRIBED AND SWORN to before me this ____ day of _______2018, at Iloilo City,
Philippines, affiant exhibited to me her identification document written below her name.

Doc. No._________
Page No._________
Book No._________
Series of 2018.

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