THE CONSOLERBC FOUNDATION INC. THE CONSOLERBC FOUNDATION INC.

Lots12 – 13, Block 3, Hofileña Subdivision Lots 12 – 13, Block 3, Hofileña Subdivision
Brgy. Mambulac, Silay City, Negros Occidental Brgy. Mambulac, Silay City, Negros Occidental
SEC Reg. No. CN201332764 SEC Reg. No. CN201332764
Contact Number: 441-7610 Contact Number: 441-7610

Number: _____ Number: _____

(Copy of CBCF) (Copy of CBCF)

Acknowledgment Receipt Acknowledgment Receipt

Received the amount of Received the amount of

_____________________________ _____________________________
____________________(P_______) ____________________(P_______)
from ________________________ from ________________________
for: (Details/Remarks/Purpose/s) for: (Details/Remarks/Purpose/s)

Date: _______________ Date: _______________

Received from: Received from:

_______________________ _______________________
Signature over Printed Name Signature over Printed Name

Receiver: Receiver:

__________________ __________________
Signature over Printed Name Signature over Printed Name

Number: _____ Number: _____

(Duplicate Copy) (Duplicate Copy)

Acknowledgment Receipt Acknowledgment Receipt

Received the amount of Received the amount of

_____________________________ _____________________________
____________________(P_______) ____________________(P_______)
from ________________________ from ________________________
for: (Details/Remarks/Purpose/s) for: (Details/Remarks/Purpose/s)

Date: _______________ Date: _______________

Received from: Received from:

_______________________ _______________________
Signature over Printed Name Signature over Printed Name

Receiver: Receiver:

__________________ __________________
Signature over Printed Name Signature over Printed Name