ACKNOWLEDGEMENT RECEIPT

This is to acknowledge that I have received payment from __________________________ for the rental
of ____________________________.

Payment details as follows:

Bank:

Branch:

Account Name:

Account Number:

Payable to:

CHECK NO./CASH DATE PERIOD AMOUNT

CASH October 21, 2016 One Month Deposit

CASH November 24, 2016 Security Deposit
1110123836 December 09, 2016
1110123837 January 09, 2016
1110123838 February 09, 2016
1110123839 March 09, 2016
1110123840 April 09, 2016
1110123841 May 09, 2016
1110123842 June 09, 2016
1110123843 July 09, 2016
1110123845 August 09, 2016
1110123846 September 09, 2016
1110123847 October 09, 2016

Payment Received By:

Date: