ACKNOWLEDGEMENT RECEIPT

Received from _______________________________, the amount

of ____________________________________ (Php____________) for
the purpose of _______________________________________.

Received this ______ day of _____________, ______ at

____________________________.

Received by:

__________________________
Witness:

_______________________
Conforme:

___________________________
_

ACKNOWLEDGEMENT RECEIPT

Received from _______________________________, the amount

of ____________________________________ (Php____________) for
the purpose of _______________________________________.

Received this ______ day of _____________, ______ at

____________________________.

Received by:

__________________________
Witness:

_______________________
Conforme:

___________________________
_