ACKNOWLEDGEMENT RECEIPT
That I, AUREA BELEN P. BALIAT, with address at 126 Avocado St. Tanza Tuguegrao City
received from LAILA R. PAREDES with address at 75 Maharlika Highway, Caggay Tuguegrao
City the amount of ONE HUNDRED THOUSAND PESOS ONLY (P 100,000.00) as full deposit for
one motor vehicle with the following specifications:
MAKE
:
MOTOR NO.
C.R. NO.
:
TYPE OF BODY :
YEAR MODEL
:
:
SERIAL/CHASSIS NO.
:
PLATE NO.
:
FILE NO.
:
Received in good condition, “ as is where is”.
Conforme:
AUREA BELEN P. BALIAT
SELLER’S PRINTED NAME and SIGNATURE
Acknowledgement of Documents:
Original:
Photocopy of Vendor’s Valid I.D.
Deed of Conditional Sale
LAILA R. PAREDES
BUYER’S PRINTED NAME AND SIGNATURE