ACKNOWLEDGEMENT RECEIPT

I, CHRISTIAN PAGE, of legal age, Filipino citizen and residing at Baua,

Gonzaga, Cagayan, do hereby acknowledge to have received from KATIE
MAINE, of legal age, Filipino citizen and residing at_________________,
Cagayan, the amount of FIVE THOUSAND SIX HUNDRED PESOS
(PhP5,600.00), Philippine currency.

Tuguegarao City, Cagayan December 15, 2016.

CHRISTIAN PAGE
Senior Citizen ID No. 04240

SUBSCRIBED AND SWORN to before me this 15 th day of December 2016

in Tuguegarao City, Cagayan.

Doc. No.
Page No.
Book No.
Series of 2016