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PAYMENT REQUEST SLIP

Please Check appropriate box


Date January 17, 2018
To: Accounting Department PESO DOLLAR

We hereby request payment of: CASH


___________________________________________________ CHECK
___________________________________________________ TT/ DM

Amount in words Figure


FOR ACCOUNTING USE ONLY
_______________________________ _______________
Checked by:
Purpose: Noted by:
Approved by:

Payee: Required Date


_________________________________________________ ______________________________
_________________________________________________

Prepared by: Checked and Verified by: Noted by: Approved by:

PAYMENT REQUEST SLIP


Please Check appropriate box
Date
To: Accounting Department PESO DOLLAR

We hereby request payment of: CASH


___________________________________________________ CHECK
___________________________________________________ TT/ DM

Amount in words Figure


FOR ACCOUNTING USE ONLY
_______________________________ _______________
Checked by:
Purpose: Noted by:
Approved by:

Payee: Required Date


_________________________________________________ ______________________________
_________________________________________________

Prepared by: Checked and Verified by: Noted by: Approved by:
ACKNOWLEDGEMENT RECEIPT

Received the amount of (______________)


From Peniel Vision Inc. as
for .

Received by:______________________
Signature over printed name
Date: _______________________

ACKNOWLEDGEMENT RECEIPT

Received the amount of (______________)


From Peniel Vision Inc. as
for .

Received by:______________________
Signature over printed name
Date: _______________________

ACKNOWLEDGEMENT RECEIPT

Received the amount of (______________)


From Peniel Vision Inc. as
for .

Received by:______________________
Signature over printed name
Date: _______________________

ACKNOWLEDGEMENT RECEIPT

Received the amount of (______________)


From Peniel Vision Inc. as
for .

Received by:______________________
Signature over printed name
Date: _______________________

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