ACKNOWLEDGMENT OF DELIVERY

WAREHOUSE RECEIPT

7 March 2019

To: Juan Dela Cruz

Barangay Mohon,
Arevalo, Iloilo City

ACKNOWLEDGMENT OF RECEIPT OF GOODS

The undersigned warrants that he is the person entitled to delivery of the

goods under Warehouse Receipt Number 1234, issued by you and dated 1
January 2019, and here acknowledges the delivery and receipt of the property
described in that document and any supplemental list as follows:
______________________________________.

The undersigned further warrants that the goods so received on this date
were in apparent good order except as otherwise noted here: __________.

The delivery and receipt of these items constitutes delivery of all goods
owned by the undersigned and stored with the bailee except as follows:
______________ (Set forth numbers of other outstanding receipts or indicate
nature of goods remaining in storage).

Executed: (date)

_______________________________________________________

Signature