KEN N RIE

TRANSPORT INC.
SAN PIOQUINTO, MALVAR BATANGAS
Tel. No.: (049) 502 – 1734/0933-8607100
Email: KenrieTransportInc@gmail.com

QUIT CLAIM

KNOW ALL MEN BY THESE PRESENT:

I, __________________________________ Filipino, of
legal age, with residence at __________________________________________________________ for
and in consideration of the amount of Philippine Peso:
_______________________________________ which I hereby acknowledge to have received in full,
in satisfactory and complete payment and settlement of all that is due and owing to me from KEN
N RIE TRANSPORT, INC. in connection with my employment on this company. I further certify
that I have no more claims against the company & staff including in moral and civil liabilities
arising from my employment.

In witness whereof, I have hereunto affixed my signature this _______ day of

______________________at ___________________________________________________________.

READ CAREFULLY BEFORE SIGNING

___________________________
Signature

SIGNED IN THE PRESENCE OF:

___________________________
___________________________

ACKNOWLEDGEMENT

Republic of the Philippines

(City/Municipality of Sta. Rosa)

BEFORE ME, this day of ______________________, 20____, in ____________________

personally appeared _________________ with residence certificate number ___________________,
issued at ____________________________ and known to me and to me know to be the same person
is their free act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notary seal the
date, year and place above written.

NOTARY PUBLIC

Doc. No. ________

Page No. ________
Book No. _______
Series of. _______