R5L Water Refilling Station R5L Water Refilling Station
Brgy. Comadogcadog, Del Gallego Cam. Sur Brgy. Comadogcadog, Del Gallego Cam. Sur
ACKNOWLEDGEMENT RECEIPT ACKNOWLEDGEMENT RECEIPT
Date:____________________ Date:____________________
RECEIVED FROM: ______________________________ RECEIVED FROM: ______________________________
DESCRIPTION DESCRIPTION
PARTICULARS AMOUNT PARTICULARS AMOUNT
BLUE CONTAINER P BLUE CONTAINER P
ROUND CONTAINER ROUND CONTAINER
350ML BOTTLES 350ML BOTTLES
OTHERS: OTHERS:
TOTAL AMOUNT PAID P TOTAL AMOUNT PAID P
RECEIVED PAYMENT BY: ______________________________ RECEIVED PAYMENT BY: ______________________________
R5L Water Refilling Station R5L Water Refilling Station
Brgy. Comadogcadog, Del Gallego Cam. Sur Brgy. Comadogcadog, Del Gallego Cam. Sur
ACKNOWLEDGEMENT RECEIPT ACKNOWLEDGEMENT RECEIPT
Date:____________________ Date:____________________
RECEIVED FROM: ______________________________ RECEIVED FROM: ______________________________
DESCRIPTION DESCRIPTION
PARTICULARS AMOUNT PARTICULARS AMOUNT
BLUE CONTAINER P BLUE CONTAINER P
ROUND CONTAINER ROUND CONTAINER
350ML BOTTLES 350ML BOTTLES
OTHERS: OTHERS:
TOTAL AMOUNT PAID P TOTAL AMOUNT PAID P
RECEIVED PAYMENT BY: ______________________________ RECEIVED PAYMENT BY: ______________________________