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ACKNOWLEDGEMENT RECEIPT

Received from the amount of

representing payment of : (detailed description of the nature of disburement)

Received by: (signature over printed name)

(Name of Payee)

(Address)

ACKNOWLEDGEMENT RECEIPT

Received from the amount of

representing payment of : (detailed description of the nature of disburement)

Received by: (signature over printed name)


(Name of Payee)

(Address)
the amount of

the amount of

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