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ACKNOWLEDGMENT RECEIPT

This is to acknowledge receipt from __________________ the sum of


_________________________________ Pesos (P_______________),, as and by
way of full payment of the Purchase Price due on the sale of
_______________________________________ shares of common stock in
______________________________, a corporation duly organized and existing
under and virtue of Philippine laws, with principal office address at
_______________________________________.

Issued on this ____st day of __________________, 20___, in Quezon City.

By:

_________________________
Assignor/Seller

REPUBLIC OF THE PHILIPPINES)


) S.S.

SUBSCRIBED AND SWORN to before me on this ____th day of _____________,


20__, affiant exhibited to me his Government-Issued Identification, in particular,
__________________________ issued by _____________________, as competent
proof of identity.

NOTARY PUBLIC

Doc. No. _____;


Page No. _____:
Book No. _____:
Series of 20___.

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