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Form A004 AR For Gems

The document contains an acknowledgement receipt form used by GEMS HEART OUTREACH DEV'T. INC. to acknowledge receiving payments for an unspecified purpose. The form includes fields for the date, amount received in words and figures, what the payment was for, and the payee's signature.

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Zoe Ganda
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14 views1 page

Form A004 AR For Gems

The document contains an acknowledgement receipt form used by GEMS HEART OUTREACH DEV'T. INC. to acknowledge receiving payments for an unspecified purpose. The form includes fields for the date, amount received in words and figures, what the payment was for, and the payee's signature.

Uploaded by

Zoe Ganda
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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GEMS HEART OUTREACH DEV'T. INC. GEMS HEART OUTREACH DEV'T. INC.

Main Office: B11 L17 Molino, Bacoor, Cavite 4102 Main Office: B11 L17 Molino, Bacoor, Cavite 4102
Field Office: West Zamora St.,Pandacan, Manila Field Office: West Zamora St.,Pandacan, Manila

ACKNOWLEDGEMENT RECEIPT ACKNOWLEDGEMENT RECEIPT

Date:__________________ Date:__________________

Received the amount of ______________________________, Received the amount of ______________________________,


(amount in words) ______________ (amount in figures) from (amount in words) ______________ (amount in figures) from
Gems Heart as payment for ___________________________ Gems Heart as payment for ___________________________

__________________________________________________. __________________________________________________.

Received by: _________________________________ Received by: _________________________________


Name of Payee (Signature Over-printed) Name of Payee (Signature Over-printed)

GEMS HEART OUTREACH DEV'T. INC. GEMS HEART OUTREACH DEV'T. INC.

Main Office: B11 L17 Molino, Bacoor, Cavite 4102 Main Office: B11 L17 Molino, Bacoor, Cavite 4102
Field Office: West Zamora St.,Pandacan, Manila Field Office: West Zamora St.,Pandacan, Manila

ACKNOWLEDGEMENT RECEIPT ACKNOWLEDGEMENT RECEIPT

Date:__________________ Date:__________________

Received the amount of ______________________________, Received the amount of ______________________________,


(amount in words) ______________ (amount in figures) from (amount in words) ______________ (amount in figures) from
Gems Heart as payment for ___________________________ Gems Heart as payment for ___________________________

__________________________________________________. __________________________________________________.

Received by: _________________________________ Received by: _________________________________


Name of Payee (Signature Over-printed) Name of Payee (Signature Over-printed)

GEMS HEART OUTREACH DEV'T. INC. GEMS HEART OUTREACH DEV'T. INC.

Main Office: B11 L17 Molino, Bacoor, Cavite 4102 Main Office: B11 L17 Molino, Bacoor, Cavite 4102
Field Office: West Zamora St.,Pandacan, Manila Field Office: West Zamora St.,Pandacan, Manila

ACKNOWLEDGEMENT RECEIPT ACKNOWLEDGEMENT RECEIPT

Date:__________________ Date:__________________

Received the amount of ______________________________, Received the amount of ______________________________,


(amount in words) ______________ (amount in figures) from (amount in words) ______________ (amount in figures) from
Gems Heart as payment for ___________________________ Gems Heart as payment for ___________________________

__________________________________________________. __________________________________________________.

Received by: _________________________________ Received by: _________________________________


Name of Payee (Signature Over-printed) Name of Payee (Signature Over-printed)

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