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ACKNOWLEDGEMENT RECEIPT ACKNOWLEDGEMENT RECEIPT

This is to acknowledge the receipt of the total amount of This is to acknowledge the receipt of the total amount of
___________________________________ (PhP________) from ___________________________________ (PhP________) from
HON. ROLANDO S. LUZANO for the purpose of HON. ROLANDO S. LUZANO for the purpose of
___________________________________________________________. ___________________________________________________________.

Signed this _____ day of ____________ 2023. Signed this _____ day of ____________ 2023.

Received by: Conforme: Received by: Conforme:

_________________________ _______________________ _________________________ _______________________


Receiver Payer Receiver Payer

ACKNOWLEDGEMENT RECEIPT ACKNOWLEDGEMENT RECEIPT


This is to acknowledge the receipt of the total amount of This is to acknowledge the receipt of the total amount of
___________________________________ (PhP________) from ___________________________________ (PhP________) from
HON. ROLANDO S. LUZANO for the purpose of HON. ROLANDO S. LUZANO for the purpose of
___________________________________________________________. ___________________________________________________________.

Signed this _____ day of ____________ 2023. Signed this _____ day of ____________ 2023.

Received by: Conforme: Received by: Conforme:

_________________________ _______________________ _________________________ _______________________


Receiver Payer Receiver Payer
Signature over Printed Name

REPLY SLIP
This is to reply on the solicitation letter of REPLY SLIP
__________________________ for the
____________________________________________________________ This is to reply on the solicitation letter of
_____________________________________________________________. __________________________ for the
____________________________________________________________
I will donate in the amount of P ____________ _____________________________________________________________.
Sorry to inform you, I will not donate
I will donate in the amount of P ____________
Sorry to inform you, I will not donate
HON. ROLANDO “NOLAN” S. LUZANO
Municipal Councilor
HON. ROLANDO “NOLAN” S. LUZANO
Received By: Municipal Councilor

Received By:
Signature over Printed Name

Signature over Printed Name

REPLY SLIP
This is to reply on the solicitation letter of REPLY SLIP
__________________________ for the
____________________________________________________________ This is to reply on the solicitation letter of
_____________________________________________________________. __________________________ for the
____________________________________________________________
I will donate in the amount of P ____________ _____________________________________________________________.
Sorry to inform you, I will not donate
I will donate in the amount of P ____________
Sorry to inform you, I will not donate
HON. ROLANDO “NOLAN” S. LUZANO
Municipal Councilor
HON. ROLANDO “NOLAN” S. LUZANO
Received By: Municipal Councilor
Received By:

Signature over Printed Name

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