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Republic of the Philippines)

San Nicolas, Ilocos Norte) S.s.

ACKNOWLEDGEMENT RECEIPT

I, LEYVITA GAMET KERNEY, of legal age, Filipino citizen, and a resident of


Brgy. 11, San Fernando, San Nicolas, Ilocos Norte, Philippines, under oath, hereby
acknowledge the receipt of the amount of PESOS: TWO HUNDRED SEVENTY
THOUSAND (Php.270,000.00) from JONALYN G. LAZO, of legal age, Filipino
citizen, and a resident of Brgy. 6, San Juan Bautista, San Nicolas, Ilocos Norte,
Philippines as FIRST PAYMENT for the sale of Lot No. ________, located in Brgy. 16,
San Marcos, San Nicolas, Ilocos Norte, Philippines.

That I (Jonalyn) hereby undertake to pay the balance of PESOS: TWO


HUNDRED SEVENTY THOUSAND (Php.270,000.00) to Leyvita Gamet Kerney on
or before December 10, 2023.

IN WITNESS WHEREOF, we have hereunto sign our names this 7th day of
October 2023 at San Nicolas, Ilocos Norte, Philippines.

LEYVITA GAMET KERNEY


Id No. ________________

Conforme:

JONALYN G. LAZO

Republic of the Philippines)


San Nicolas, Ilocos Norte) S.s.

ACKNOWLEDGEMENT

BEFORE ME, a notary for and in Laoag City and the Province of Ilocos Norte this
7th day of October 2023 at San Nicolas, Ilocos Norte, Philippines personally appeared, the
parties with the instrumental witnesses, known to me to be the same person who executed
the foregoing instrument and personally acknowledged to me that the same is his
voluntary act and deed.

WITNESS MY HAND AND SEAL on the date and at the place above-written.
Doc. No. __; Book No. II;
Page No. __; Series 2023.
ATTY. MARVINSON MARK B. DALAYAP

NOTARY PUBLIC – LAOAG CITY AND ILOCOS NORTE


Commission No. 2023-05/ Valid Until December 31, 2024
Roll No. 75301/ July 23, 2020
IBP No. 309727/ February 3, 2023/ Ilocos Norte
PTR No. 0787601/ January 3, 2023/ San Nicolas, Ilocos Norte
MCLE Compliance No. VII-009370/ Feb. 12, 2022
Brgy. 12, San Nicolas, Ilocos Norte

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