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e-PILOT AUTO WORKS e-PILOT AUTO WORKS

ACKNOWLEDGEMENT RECEIPT ACKNOWLEDGEMENT RECEIPT

Known all men by these Presents: Known all men by these Presents:
We Receive the amount of Php:_______________ We Receive the amount of Php:_______________
(in words)______________________________________________only. ( in words)______________________________________________only.
From ______________________________________________________ From ______________________________________________________
As a Payment for the repair of (car/plate #)_________________________ As a Payment for the repair of (car/plate #)_________________________
Dated ___________________________, for the following Job description; Dated ___________________________, for the following Job description;
( JOB DONE ) ( AMOUNT) ( JOB DONE ) ( AMOUNT)
______________________________________________________________ ______________________________________________________________
______________________________________________________________ ______________________________________________________________
______________________________________________________________ ______________________________________________________________
______________________________________________________________ ______________________________________________________________
______________________________________________________________ ______________________________________________________________
______________________________________________________________ ______________________________________________________________
______________________________________________________________ ______________________________________________________________
______________________________________________________________ ______________________________________________________________
______________________________________________________________ ______________________________________________________________
______________________________________________________________ ______________________________________________________________
______________________________________________________________ ______________________________________________________________
______________________________________________________________ ______________________________________________________________
______________________________________________________________ ______________________________________________________________
If you wish to discuss about this matter please visit our shop. If you wish to discuss about this matter please visit our shop.
This receipt is subjected for realization and evidence purposes only. This receipt is subjected for realization and evidence purposes only.
Thank you. Thank you.

____________________ ________________ ____________________ ________________


Receiver Costumer Receiver Costumer
(Signature over Printed name) (Signature over Printed name) (Signature over Printed name) (Signature over Printed name)

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