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REPUBLIC OF THE PHILIPPINES)

CITY OF BATANGAS) S.S.

ACKNOWLEDGMENT RECEIPT

I, BLANCA C. TIPA, Filipino, of legal age, and a resident of Banaba South, Batangas
City received the amount of ONE HUNDRED THOUSAND PESOS (P100,000.00) as
partial payment from GLENDA R. UMALI.

Check No. ________________

IN WITNESS WHEREOF, I have hereunto set my hand this February 10, 2013, at
Batangas City.

BLANCA C. TIPA
Unified Multi-Purpose
ID No. 006-0021-7396

Witnesses: ___________________ ___________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES }


Batangas City} S.S.

BEFORE ME, a Notary Public for and in Batangas City, this 12th day of November 2013,
personally appeared the above-named person with their identifying documents written
below their names and signatures, personally known to me and to me known and identified
by me through competent evidence presenting this integrally complete instrument.
Representing to me that the signatures in the instrument were voluntary affixed by them for
the purposes declaring that they have executed the instrument as their free and voluntary
act and deed. Further, persons acting in representative capacity declare that they have
been given authority to sign in said capacity.

The foregoing instrument relates to ACKNOWLEDGMENT RECEIPT consisting of one


(1) page including this page of Acknowledgment, signed by the parties and their witnesses
on all pages thereof, in my presence and sealed with my Notarial Seal.

WITNESS MY HAND AND SEAL.

Notary Public

Doc. No. __;


Page No. __;
Book No. __;
Series of 20__. .

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