ACKNOWLEDGMENT

RECEIPT
I, NADZWA JANNATUL USMAN, do hereby acknowledge the sum of
ELEVEN THOUSAND AND FIVE HUNDRED (P11, 500.00) PESOS from
ALEJANDRO C. FUTALAN as payment for the damaged caused to the rear bumper
of my vehicle particularly described as follows:
MAKE:
Chassis No.
Engine No:
Body Type:
Plate No. :
Color:

Hyundai
MALA351AAFM398341
G3HAFM359290
Sub Compact
MO0823
BLUE

This 10th day of February 2016 at Zamboanga City, Philippines.

NADZWA JANNATUL USMAN

Affiant
SUBSCRIBED AND SWORN to before me at the above written place and date.
ATTY. BERARDO C. FAUNDO, JR.
Roll of Attorneys No.37073; 5-9-91
IBP No. 1028165; 01-05-2016; Zamboanga City
PTR No. 1194077; 01-20-2016; Zamboanga City
MCLE Compliance No. V-0002063; 05-132014/Z.C
Notarial Commission No. 27-2016
Doc. No. ______
Page No. ______
Book No. ______
Series of 2016