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An Acknowledgement Receipt can come in many forms, it can be a simple one sentence acknowledgment of money indicating the date,
amount, what the payment is for and the person who received the money. Below is a sample. You are free to copy and revise this form.
ACKNOWLEDGEMENT RECEIPT
Received from Atty. Juan Santos the amount of One Hundred Fifty Thousand Pesos (P150,000.00) Philippine Currency (BPI Roxas Boulevard Manila Branch check # 12345-67890) representing the payment of:
Two (2) months deposit and one (1) month advance
for the lease of condominium unit # 540 Philippine Executive Towers, Ayala Avenue, Makati City.
Received by:
_______________ Victor Gonzalez Lessor
Date Received:
_______________
Note: The Acknowledgement Receipt can be used as proof of payment for: services rendered, rental payments, partial payments or for any other payment that needs acknowledgement. You may copy and revise the above document on MS Word or save the image below for reference.
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