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ACKNOWLEDGEMENT RECEIPT

I, ___________________________, of legal age, Filipino citizen, single/married,


and a resident of _________________________________, Philippines, do hereby
acknowledged that I received the amount of ______________________________
(Php___,000.00), Philippine Currency, from ___________________________, likewise
of legal age, Filipino citizen, married and a resident of
________________________________, Philippines, for the purchased payment of my
motorcycle, described as follows: to wit:

Make / Series : ______________


Year Model : ______________
Engine No. : ______________
Chassis No. : ______________
Plate No. : ______________

Done this ___ day of ____________ 20__ at _____________________


Philippines.

________________________

Signed in the presence of:

___________________________ & ___________________________

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

ACKNOWLEDGEMENT RECEIPT

I, ___________________________, of legal age, Filipino citizen, single/married,


and a resident of _________________________________, Philippines, do hereby
acknowledged that I received the amount of ______________________________
(Php___,000.00), Philippine Currency, from ___________________________, likewise
of legal age, Filipino citizen, married and a resident of
________________________________, Philippines, for the purchased payment of my
motorcycle, described as follows: to wit:

Make / Series : SUZUKI / FU150SCD


Year Model : 2009
Engine No. : G420ID923301
Chassis No. : BG41D103286
Plate No. : 9214 RI

Done this ___ day of ____________ 20__ at _____________________


Philippines.

________________________

Signed in the presence of:

___________________________ & ___________________________

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