Date: _______________________
ACKNOWLEDGMENT RECEIPT
The undersigned hereby acknowledges receipt of the sum of
_______________________________________________ PESOS (P ____________________),
Philippine Currency, paid by ______________________________________ which payment
constitutes full/partial payment of the below described obligation:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
If this is in partial payment of said obligation, the remaining unpaid balance on
this date is: P _________________.
Signed this ______ day of ______________________, 20___, at Digos City, Davao
del Sur, Philippines.
Received by:
__________________________
Witnesses:
_______________________________ _______________________________