DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Lingayen I District
LINGAYEN I CENTRAL SCHOOL
ACKNOWLEDGEMENT RECEIPT
DATE: September 25, 2023
Received the amount of
From
RECEIPT NO. 0016
one thousand two-hundred fifty pesos____
(P _____P 1,250___________________)
_MARIA RACHEL U. DISINI___________ for _______________Grade III-A_______________________
___________________________________________________.
Received by:
___
Noted:
CHERYL B. DE GUZMAN
Principal III
LISA C. ANGELES_______
Name and Signature