Republic of the Philippines)

CITY OF CALBAYOG )S.S.

ACKNOWLEDGMENT RECEIPT

I, ARTURO MENDOZA , of legal age, Filipino citizen, married, and resident of

Nijaga Street, Corner Galit Street, Brgy. East Awang, Calbayog City, Samar,
hereinafter referred to as VENDOR hereby acknowledge receipt from EARL FRANCIS
M. MARCIAL and MARY CRISTINNE B. MARCIAL, the sum of FIFTY
THOUSAND PESOS (Php50,000.00) as PARTIAL PAYMENT for the sale of a parcel of
land covered by Transfer Certificate of Title (TCT) No. 7269

IN WITNESS WHEREOF, I/WE have hereunto affixed my signature

this_____________ in Calbayog City, Western Samar.

___________________________
ARTURO MENDOZA
Vendor

SIGNED IN THE PRESENCE OF:

_______________________ _______________________
Witness Witness

Republic of the Philippines)

CITY OF CALBAYOG )S.S.

BEFORE ME, this _______________________ personally appeared the above-

named party and presented to the foregoing instrument consisting of one (1) page
including the page where the acknowledgment is written. The signature appearing hereon
was voluntarily affixed by him for the purpose stated in the foregoing instrument, and that
he had acknowledged to me that the same is his free act and deed.

Doc. No. _____ ;

Page No. __ ;
Book No. __ ;
Series of 2022