ACKNOWLEDGMENT RECEIPT
Date: ___________________
                                ACKNOWLEDGMENT RECEIPT
    I, ______________________________________, hereby acknowledge that I received the total
   amount of ______________________________________________________ (₱ _____________)
      from _______________________, corresponding __________________________________.
                         _______________________________________
                                 Signature over Printed Name
Date: ___________________
                                ACKNOWLEDGMENT RECEIPT
    I, ______________________________________, hereby acknowledge that I received the total
   amount of ______________________________________________________ (₱ _____________)
      from _______________________, corresponding __________________________________.
                         _______________________________________
                                 Signature over Printed Name
Date: ___________________
                                ACKNOWLEDGMENT RECEIPT
    I, ______________________________________, hereby acknowledge that I received the total
   amount of ______________________________________________________ (₱ _____________)
      from _______________________, corresponding __________________________________.
                         _______________________________________
                                 Signature over Printed Name