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DATE:

ACKNOWLWDGEMENT RECEIPTS

THAT I MARY JOSEPHINE


FERRARIS VITUG had received the sum of ____________________________ (Php. _____________) Phillippine
Currency, from _______________________as a PAYMENT ____________________________________________
with an area of situated area in ___________________________- Province of Iloilo. Covered with Transfer
Certificate of TITLE NO.T-____________.

MARY JOSEPHINE FERRARIS VITUG NORA SUERTE

Signed in the presence

________________ and _____________________

SUBSCRIBED AND
SWORN to before me this ______ day of ____________,in the City of Iloilo, Phillippines.
DOC NO.
_________________: PAGE NO
________________: BOOK NO.
_______________: SERIES NO.
_______________:

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