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ACKNOWLEDGEMENT OF PAYMENT

I, ____________________________, hereby acknowledge to have


received the amount of_______________________________ from
_______________________ as full payment of the loan amount
______________________________.

Done this _____________ day ____________ in _________, Philippines.

To the Truth of the foregoing, the parties have hereunto affixed their
signatures.

____________ ____________________
Creditor Debtor/Maker

SIGNED IN THE PRESENCE OF:

_______________________ _________________________
Witness Witness

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