RECEIPT RECEIPT

Date: _______________, 20____ Date: _______________, 20____

RECEIVED from _____________________________________________ RECEIVED from _____________________________________________
Address ____________________________________________________ Address ____________________________________________________
the sum of Pesos ____________________________________________ the sum of Pesos ____________________________________________
as full / partial payment for ___________________________ as full / partial payment for ___________________________

__________________ Signature: _______________________ __________________ Signature: _______________________

RECEIPT RECEIPT

Date: _______________, 20____ Date: _______________, 20____

RECEIVED from _____________________________________________ RECEIVED from _____________________________________________
Address ____________________________________________________ Address ____________________________________________________
the sum of Pesos ____________________________________________ the sum of Pesos ____________________________________________
as full / partial payment for ___________________________ as full / partial payment for ___________________________

__________________ Signature: _______________________ __________________ Signature: _______________________