ACKNOWLEDGEMENT RECEIPT

Date________________
Received from Mr./Ms. ___________________________________________with
business address at ______________________________________________________________________
The amount of ______________________________________________________( Php.______________)
As Full payment for one unit ______________________________________

More particularly described as follows:

Make and Type

Motor No.
Chassis No.
Plate No.
C.R. No.

:
:
:
:
:

Honda Civic Vti 1997

D16A-1002342
PHS04-3B7828
UPP 456
182183120

RECEIVED THE UNIT IN GOOD RUNNING CONDITION, AS IS WHERE IS

CONDITION

____________________________________
Buyers Printed Name/Signature

___________________________________
Sellers Printed Name/Signature