Acknowledgement Receipt No.

________
Date ________
Company/Proprietor/Seller: ____________________________________ ____
Address of Seller: ________________________________________________
Customer: PricewaterhouseCoopers Business Services Philippines Co. Ltd.
Address of Customer: 4F JMT Corporate Condominium Bldg, ADB Avenue, Ortigas
Centre, Pasig City
TIN: 009-250-445-000
Purpose: Printing Fees for Inventory Count
Particulars (Items included):
Cost Per
File name Total No. of Pages Page TOTAL
1
2
3
4
5
6
7
8
9
10

Total Amount Paid: Php ___________

I acknowledge that I have received the full amount indicated above.

Seller’s Signature over Printed Name