ACKNOWLEDGEMENT RECEIPT

I, _____________________, Filipino, of legal age and a

resident of _________________ General Santos City, hereby
acknowledge receipt of the sum of ________________________
(₱_________) PESOS, from _________________, as payment for
__________________________.

Signed this ______________ in General Santos City.

SIGNED IN THE PRESENCE OF:

______________________ & _______________________

SUBSCRIBED AND SWORN to before me this

_______________, affiants exhibiting to me his/her valid ID, as
competent proof of identity.

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 2018.