Acknowledgement Receipt Template

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____________________

Date

ACKNOWLEDGEMENT RECEIPT

This is to acknowledge that I, ____________________________________________________


of/from
<NAME OF RECIPIENT>

_________________________________________________________________ has received from,


<OFFICIAL ADDRESS>

____________________________________________, ____________________________________,
<NAME OF PAYOR> <POSITION/DESIGNATION>

of ________________________, the amount of __________________________________________


<AMOUNT IN WORDS>

__________________________________________________ only (P______________) in


cash/check

as payment for
______________________________________________________________________

_________________________________________.

_______________________
Printed Name and
Signature

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