On the ______ day of. In the year ______, before me, the undersigned notary public, personally appeared.Name: Date: Description of Equipment or Property Issued to Employee: By signing this form, I agree to the following: I am responsible for the equipment or. This document is a receipt acknowledging payment received from an individual or entity. How to write an Acknowledgement Letter? An easy way to start is to download this Sample Acknowledgment Letter of Receipt template now! Apply to any SUNY college or university through one easy form. If the Veteran is buried in a VA national cemetery, some or all of the cost of transporting the deceased may be reimbursed. Non-service-connected Death. It serves both as proof of service and as a formal record that the receiving party has received the documents.