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EEI POWER CORPORATION

No. 12 Manggahan St., Bagumbayan, Quezon City

ACKNOWLEDGEMENT RECEIPT
Receipt of Payment for Rental

Project Name: _______________________________________

Project Address: _______________________________________

Daily Rate:

Rental: PHP 2000 per day


Delivery Fee: PHP 500

I, ___________________________________, designation ______________________________,

residing in _____________________________________________________________________,

acknowledge the receipt of Cash payment from EEI Power Corporation, for renting portable genset
amounting to a total of PHP ____________ , for a period of ____ day/s, from _________ to
______________.

Date Amount Received Signature


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Payment received by:

Signature over printed name / Date

Paid By: Checked & Noted by: Approved by:

_____________________ Keisha Marie Dayrit AMD Tanedo/KC Lat


Field / Project Engineer Project Engineer FOT Head /PSD Manager

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