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ACCEPTANCE & INSPECTION REPORT MUNICIPALITY OF STA.

CRUZ, ZAMBALES LGU


Supplier: North Tiles Builders Center P.O. No.: ______________ Date: _____________________ Invoice No: _____________________ AIR No.: ______________ Date: _________________

Requisitioning Officer/Department:

DepEd-STA. CRUZ SOUTH DISTRICT

Item No. 1

Unit

Item Description

Quantity

pc

Floor Tiles 16 x 16

145

***ACCEPTANCE***
Date Received Complete Partial

***INSPECTION***
Date Inspected Inspected, verified and found OK as to quantity ans specifications

Designation

MYLENE B. URBANO Inspection Committee Officer

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