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AKNOWLEDGMENT RECEIPT

THIS IS TO CERTIFY THAT, I, ___________________, of legal age,


Filipino and with residence at _______________________, received the amount
of ________________________________ (P________________________) as
partial payment of the debt of __________________________, of legal age,
Filipino, and with residence at Tuguegarao City, Cagayan.

Balance after the above-mentioned payment is as follows:


Date Amount Remarks
December 27, 2023 Due and Demandable
January 28, 2024 Due and Demandable
February 2024
March 2024
April 2024
May 2024
June 2024
July 2024
August 2024
September 2024
October 2024
November 2024
Total Balance

Received payment by:

_____________________________________

Received payment from:

_______________________

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