ACKNOWLEDGEMENT RECEIPT
This document is to hereby acknowledge the receipt of the total amount (in words):
_____________________________________________ PESOS (Php ________) from Mr./Mrs.:
__________________________ to Mr./Mrs.: _________________________ as payment for:
________________________________________________________________.
Payment Details:
Cash Payment: ____________________
Bank & Checking No. _______________
Signed this ______ day of _______ 2023.
Received by: Conforme:
______________________ _______________________
(Signature over printed name) (Signature over printed name)
Receiver/Representative Payer