ACKNOWLEDGMENT

Received from Emilia Concepcion D. Severino the following PSBank post-dated checks as
payment for TWELVE (12) MONTHLY INTALLMENTS for One (1) Unit Kyocera Copier payable to PhilCopy:

CHECK INSTALLMENT
DATE PARTICULARS AMOUNT
NO. DATE
1. Jan 31, 2019 102782 DP/First January 31, 2019 4,419.00
Installment
2. Feb 28, 2019 102796 2nd Inst. Feb 28, 2019 4,419.00
3. March 31, 2019 102797 3rd Inst. March 31, 2019 4,419.00
4. April 30, 2019 102798 4th Inst. April 30, 2019 4,419.00
5. May 31, 2019 102799 5th Inst. May 31, 2019 4,419.00
6. June 30, 2019 102800 6th Inst. June 30, 2019 4,419.00
7. July 31, 2019 102801 7th Inst. July 31, 2019 4,419.00
8. August 31, 2019 102803 8th Inst. August 31, 2019 4,419.00
9. September 30, 2019 102804 9th Inst. September 30, 2019 4,419.00
10. October 31, 2019 102805 10th Inst. October 31, 2019 4,419.00
11. November 30, 2019 102806 11th Inst. November 30, 2019 4,419.00
12. December 31, 2019 102807 12th Inst. December 31, 2019 4,419.00
TOTAL 53,028.00

Check No. 102802 Cancelled

Received by: ______________________
Date Received: ____________________