Date: __________________

ACKNOWLEDGEMENT RECEIPT

Received from __________________________________ the amount of

____________________________________________________ (Php_______________) as

payment for____________________________________________________________.

Received by:

_________________________________
Printed Name and Signature
Location/Address: ____________________________________________

Date: __________________

ACKNOWLEDGEMENT RECEIPT

Received from _________________________________ the amount of

____________________________________________________ (Php_______________) as

payment for____________________________________________________________.

Received by:

_________________________________
Printed Name and Signature
Location/Address: ____________________________________________