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Date:____________________

ACKNOWLEDGEMENT RECEIPT

Received from _________________________________________ the amount of__________,


(_____________________________________________________) as full/partial payment for (1) unit
of vehicle/motorcycle described as follows:
Plate Number:_______________________________
Chassis Number:______________________________
Motor/Engine Number:________________________
The said unit is sold as AS IS, WHERE IS basis.

Received by:

__________________________

Witnesses:

1:_________________________

2._________________________

Date:____________________

ACKNOWLEDGEMENT RECEIPT

Received from _________________________________________ the amount of__________,


(_____________________________________________________) as full/partial payment for (1) unit
of vehicle/motorcycle described as follows:
Plate Number:_______________________________
Chassis Number:______________________________
Motor/Engine Number:________________________
The said unit is sold as AS IS, WHERE IS basis.

Received by:

__________________________

Witnesses:

1:_________________________

2._________________________

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