The sample acknowledgement letters for receipt of payment provided below can be used as format templates for official and personal purposes. Panfilo R. Dimasaca acknowledges receipt of PHP30,000 from Marina Labro Luena for the purchase of 100 square meters of land.Step 3: Submit Documents to SJSU. As escrow holder, the Secretary of the Company, or his or her designee, holds the original of the aforementioned certificate issued in the undersigned's name. Removal of Old Applications. You may notice that the applications you submitted several years ago are missing from the list of applications you submitted. I would like to choose a provider in the Palo Alto Medical Foundation network. How does this process work? I thought it was a scam," Terri Brown of San Jose said. Brown's ordeal began two years ago when she paid for her car registration online.