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ACKNOWLEDGMENT RECEIPT

Receive the amount of FIVE THOUSAND PESOS ( 5,000.00), Philippine Currency as a Salary Loan. That the above-cited SALARY LOAN has a TWENTY PERCENT (20%) interest and it will be paid within 60 days (including Saturdays and Sundays) on daily basis starting October 19, 2012 up to December 18, 2012.

Received by: ____________________________________

Signed in the presence of : _____________________________ _____________________________

SUBSCRIBED AND SWORN to before me on this ___ day of ___ at Trece Martires City, Cavite.

Doc. No. Page No. Book No. Series of

: ___ : ___ : ___ : ___

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