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ATTY. JEREMIAS C.

GARCIA
456 Ortiz Bldg., Maharlika Hi-way,
Brgy., Dicarma, Cabanatuan City
Tel No. 940-2474
_________________________
Date
ACKNOWLEDGEMENT RECEIPT
Received from _______________________________ the amount of ________________________________
(P_______________).
AS PAYMENT FOR:
[ ] Acceptance Fee _________________ [ ] Notarial Fee
[ ] Appearance Fee [ ] Record and Clerical Fee
[ ] Others:_________________________________________
___________________________
Signature

ATTY. JEREMIAS C. GARCIA


456 Ortiz Bldg., Maharlika Hi-way,
Brgy., Dicarma, Cabanatuan City
Tel No. 940-2474
__________________________________
Date
ACKNOWLEDGEMENT RECEIPT
Received from _______________________________ the amount of ________________________________
(P_______________).
AS PAYMENT FOR:
[ ] Acceptance Fee _______________________ [ ] Notarial Fee
[ ] Appearance Fee [ ] Record and Clerical Fee
[ ] Others:_________________________________________
___________________________
Signature

ATTY. JEREMIAS C. GARCIA


456 Ortiz Bldg., Maharlika Hi-way,
Brgy., Dicarma, Cabanatuan City
Tel No. 940-2474
__________________________________
Date
ACKNOWLEDGEMENT RECEIPT
Received from _______________________________ the amount of ________________________________
(P_______________).
AS PAYMENT FOR:
[ ] Acceptance Fee _______________________ [ ] Notarial Fee
[ ] Appearance Fee [ ] Record and Clerical Fee
[ ] Others:_________________________________________
___________________________
Signature

ATTY. JEREMIAS C. GARCIA


456 Ortiz Bldg., Maharlika Hi-way,
Brgy., Dicarma, Cabanatuan City
Tel No. 940-2474
__________________________________
Date

ACKNOWLEDGEMENT RECEIPT
Received from _______________________________ the amount of ________________________________
(P_______________).
AS PAYMENT FOR:
[ ] Acceptance Fee _________________________ [ ] Notarial Fee
[ ] Appearance Fee [ ] Record and Clerical Fee
[ ] Others:_________________________________________
___________________________
Signature

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