Appendix 64

INSPECTION & ACCEPTANCE REPORT (IAR)

(INFRASTRUCTURE PROJECT)

(Agency)

Supplier IAR No.

WO No. Date SI No. Date
Requisitioning Office/Dept.

Item No. Unit Description Quantity

1 LOT REPAIR/IMPROVEMENT OF 1
SCOPE WORKS:
-
-
-
-
-
-
-
-
-
******NOTHING FOLLOWS******

INSPECTION ACCEPTANCE
Date Inspected: Date Received:

Inspected, verified and found that it has substantially x Complete

X complied as to estimates of the work, items, quantities, cost
and specifications.
Partial (pls. specify quantity)

BAC TWG BAC TWG

Agency.

Abjr/ For Property Office Use Only