R&S Battery Shop R&S Battery Shop

1111 Ilang-Ilang Street, Area A, Camarin Caloocan City 1111 Ilang-Ilang Street, Area A, Camarin Caloocan City
Contact nos. 0905-427-2951 / 0963-2299-372 Contact nos. 0905-427-2951 / 0963-2299-372

Date: ______________________ Date: ______________________

ACKNOWLEDGMENT RECEIPT ACKNOWLEDGMENT RECEIPT

Received from ____________________________ Received from ____________________________
address at ______________________________________ address at ______________________________________
an amount of Php. ___________ for _________________. an amount of Php. ___________ for _________________.

Qty. UNIT DESCRIPTION PRICE Qty. UNIT DESCRIPTION PRICE

TOTAL AMOUNT DUE TOTAL AMOUNT DUE

DEPOSIT DEPOSIT
BALANCE BALANCE

Received by: Prepared by: Received by: Prepared by:

__________________ __________________ __________________ __________________
Customer’s Signature Authorized Personnel Signature Customer’s Signature Authorized Personnel Signature

R&S Battery Shop R&S Battery Shop

1111 Ilang-Ilang Street, Area A, Camarin Caloocan City 1111 Ilang-Ilang Street, Area A, Camarin Caloocan City
Contact nos. 0905-427-2951 / 0963-2299-372 Contact nos. 0905-427-2951 / 0963-2299-372

Date: ______________________ Date: ______________________

ACKNOWLEDGMENT RECEIPT ACKNOWLEDGMENT RECEIPT

Received from ____________________________ Received from ____________________________
address at ______________________________________ address at ______________________________________
an amount of Php. ___________ for _________________. an amount of Php. ___________ for _________________.

Qty. UNIT DESCRIPTION PRICE Qty. UNIT DESCRIPTION PRICE

TOTAL AMOUNT DUE TOTAL AMOUNT DUE

DEPOSIT DEPOSIT
BALANCE BALANCE

Received by: Prepared by: Received by: Prepared by:

__________________ __________________ __________________ __________________
Customer’s Signature Authorized Personnel Signature Customer’s Signature Authorized Personnel Signature