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ACKNOWLEDGMENT RECEIPT

(P__________)
RECEIVED from Vendee _______________, of legal age, married, Filipino
Citizen, and a resident of _____________________, Philippines the sum of
_______________________________________________(P_________)Philippine
Currency as FULL PAYMENT representing my share from the purchase of a motor
vehicle, more particularly described as follows, to wit:

MAKE : KIA
TYPE : DROPSIDE
ENGINE NO. : J36909818
CHASSIS NO. : KN3HRX4N26K137865
MV FILE NO. : 0901-391023
SERIES : BONGO
COLOR : WHITE BLACK
PLATE NO. : JAF1628
CR NO. : 396311473
OR NO. : 1945088342

Iligan City, _____________.

______________
Affiant

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