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GEMS HEART OUTREACH DEV'T. INC. GEMS HEART OUTREACH DEV'T. INC.

Main Office: B11 L17 Molino, Bacoor, Cavite 4102 Main Office: B11 L17 Molino, Bacoor, Cavite 4102
Field Office: West Zamora St.,Pandacan, Manila Field Office: West Zamora St.,Pandacan, Manila

ACKNOWLEDGEMENT RECEIPT ACKNOWLEDGEMENT RECEIPT

Date:__________________ Date:__________________

Received the amount of ______________________________, Received the amount of ______________________________,


(amount in words) ______________ (amount in figures) from (amount in words) ______________ (amount in figures) from
Gems Heart as payment for ___________________________ Gems Heart as payment for ___________________________

__________________________________________________. __________________________________________________.

Received by: _________________________________ Received by: _________________________________


Name of Payee (Signature Over-printed) Name of Payee (Signature Over-printed)

GEMS HEART OUTREACH DEV'T. INC. GEMS HEART OUTREACH DEV'T. INC.

Main Office: B11 L17 Molino, Bacoor, Cavite 4102 Main Office: B11 L17 Molino, Bacoor, Cavite 4102
Field Office: West Zamora St.,Pandacan, Manila Field Office: West Zamora St.,Pandacan, Manila

ACKNOWLEDGEMENT RECEIPT ACKNOWLEDGEMENT RECEIPT

Date:__________________ Date:__________________

Received the amount of ______________________________, Received the amount of ______________________________,


(amount in words) ______________ (amount in figures) from (amount in words) ______________ (amount in figures) from
Gems Heart as payment for ___________________________ Gems Heart as payment for ___________________________

__________________________________________________. __________________________________________________.

Received by: _________________________________ Received by: _________________________________


Name of Payee (Signature Over-printed) Name of Payee (Signature Over-printed)

GEMS HEART OUTREACH DEV'T. INC. GEMS HEART OUTREACH DEV'T. INC.

Main Office: B11 L17 Molino, Bacoor, Cavite 4102 Main Office: B11 L17 Molino, Bacoor, Cavite 4102
Field Office: West Zamora St.,Pandacan, Manila Field Office: West Zamora St.,Pandacan, Manila

ACKNOWLEDGEMENT RECEIPT ACKNOWLEDGEMENT RECEIPT

Date:__________________ Date:__________________

Received the amount of ______________________________, Received the amount of ______________________________,


(amount in words) ______________ (amount in figures) from (amount in words) ______________ (amount in figures) from
Gems Heart as payment for ___________________________ Gems Heart as payment for ___________________________

__________________________________________________. __________________________________________________.

Received by: _________________________________ Received by: _________________________________


Name of Payee (Signature Over-printed) Name of Payee (Signature Over-printed)

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