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NATIONAL CAPITAL REGION

____________________

ACKNOWLEDGEMENT RECEIPT / TRANSMITTAL

This is to certify that the following __________________, have been received today from __________:

Items No. of Units

a) ____________________________ [ ]
b) ____________________________ [ ]
c) ____________________________ [ ]

Location: ________________________________________________ ID No:____________________

Received By:

______________________________________
Printed Name & Designation

Reminders: Documents for Return


1.) Acknowledgement Receipt / Transmittal
2.) Photocopy of ID (Recipient) Front & Back
3.) Delivery Record

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NATIONAL CAPITAL REGION


____________________

ACKNOWLEDGEMENT RECEIPT / TRANSMITTAL

This is to certify that the following __________________, have been received today from __________:

Items No. of Units

d) ____________________________ [ ]
e) ____________________________ [ ]
f) ____________________________ [ ]

Location: ________________________________________________ ID No:____________________

Received By:

______________________________________
Printed Name & Designation

Reminders: Documents for Return


1.) Acknowledgement Receipt / Transmittal
2.) Photocopy of ID (Recipient) Front & Back
3.) Delivery Record

------------------------------------------------------------------------------------------

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