On the ____ day of ____ in the year ____ before me, the undersigned, personally appeared. , personally known to me or proved to me on the basis of satisfactory.Learn what an acknowledgement receipt is and how to create one for your business (with a template and two examples). What do you need to include in your donation acknowledgment letter? Acknowledgment of receipt with follow-up. WINERY-SHIPPER'S NEW YORK STATE. OUT-OF-STATE DIRECT SHIPPER'S. ACKNOWLEDGEMENTS. Acknowledgement taken in New York State. The sample acknowledgement letters for receipt of payment provided below can be used as format templates for official and personal purposes.