STK BUILDING

OWNER/TENANT GATEPASS

DATE_______________ NO:
Issued to/Unit No./ Name Represented by: Received by:
_____________________ ________________________

NO: Quantity Description

1 _________
2 _________
3 _________
4 _________
5 _________
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Purpose: ______________________________

A Approved by: Noted by: Checked by:

______________ _______________ ______________
Tenant Bldg. Admin Date____Time____

Note: In triplicate copies *Bldg. Admin*Security*Owner/Tenant