Republic of the Philippines

DEPARTMENT OF EDUCATION
Region I

Division of Pangasinan II
MANGALDAN NATIONAL HIGH SCHOOL

ACKNOWLEDGEMENT RECEIPT for EQUIPMENT

(SMAW)

QUANTITY UNIT DESCRIPTION

2 pc “Bosch” Grinder
1 pc “Bosch” Impact Drill

Received by: Received from:

_______________________ HAROLD L. DE VERA

Signature Over Printed Name Signature Over Printed Name

______________________ Admin. Officer I (Supply Officer)

Position Position
______________________ _________________________
Date Date