Aunty Merly’s Burial Plan

Amount to be Paid/Fulfilled: ₱ 50,000

Received by:
Amount Received: Date Received: Signature
(Please indicate the Full Name)

January
₱ 5,000 Merly Alerta
30,2021

Last Payment: ₱_________________________

Amount Paid/Fulfilled on: ____________________________________________________
Received by: __________________________________________________ (Please indicate Full Name)
Signature: ___________________________________________________

Witness’ Name: _______________________________________________

Signature: ___________________________________________________
Signed on: ___________________________________________________