Appendix 62

INSPECTION AND ACCEPTANCE REPORT

Entity Name : KATIDTUAN CENTRAL ELEMENTARY SCHOOL Fund Cluster : MOOE

Supplier : ____JGZ HARDWARE_________________________ IAR No. : __2019-09-001________

PO No./Date : __2019-09-001/___________________________ Date : ______________________
Requisitioning Office/Dept. : _______________________________ Invoice No. : _____________
Responsibility Center Code : _______________________________ Date : _______________________

Stock/
Description Unit Quantity
Property No.

Cement bags 25
1

Sand & Gravel load 1

2

Round Bar (9mm) pcs 20

3

Tie Wire roll 2

4

INSPECTION ACCEPTANCE

Date Inspected : _____________________________ Date Received : ______________

Inspected, verified and found in order as to Complete

quantity and specifications
Partial (pls. specify quantity)

_______JEANETTE A. ABELLERA________ _____CAROLYN A. ENDOY______

Inspection Officer/Inspection Committee Supply and/or Property Custodian

155