Republic of the Philippines

Municipality of Gigaquit
Barangay SAN ANTONIO

ACKNOWLEDGEMENT RECEIPT
AR#_____
_________________
Date___________________

Please acknowledge receipt in the amount of Thirteen Thousand Two Hundred Pesos Only (P) 13,200.00
Received from BLGU- San Antonio. _______________________________________________________
For the purpose of payment for good lumber for crafting tables, chairs, & cabinets__________________

Cash/ Check No. : __________________________________________________

Date :___________________________________________________
Amount :___________________________________________________

Prepared by: :___________________________________________________

(Signature Over Printed Name)

Received by: :___________________________________________________

(Signature Over Printed Name)

Date/ Time Received :___________________________________________________