Acknowledgment Receipt
Acknowledgment Receipt
(P ) (P )
(In words) (In figures) (In words) (In figures)
in payment for in payment for
Services: Services:
Items/Goods: Items/Goods:
Qty Unit Price Description Amount Qty Unit Price Description Amount
Total Total
Others: Others:
PAYEE PAYEE
Name: Name:
Address: Address:
Contact No: Contact No:
Place of Issue: Signature Place of Issue: Signature