Appendix 62

INSPECTION AND ACCEPTANCE REPORT

Entity Name : APOLONIO CASIMIRO FAUSTINO ES Fund Cluster : 01

Supplier : Puregold Price Club, Inc. IAR No. :

PO No./Date : Date : December 2,2019
Requisitioning Office/Dept. : Office Room Invoice No. : 230-007-00066915
Responsibility Center Code : Date : December 2,2019

Stock/
Description Unit Quantity
Property No.

1 Dishwashing paste pc 2

2 alcohol bottle 4
3 Cleaner (Toilet and Urinal) pc 4
4 Detergent Bar pc 6
5 Detergent Powder pack 20
6 Insecticide can 1
7 Dishwashing Liquid pc 3
8 Tissue pc 4

9 Utensil Sponge pc 1

10 2 in 1 Kitchen Sponge pc 1

11 Liquid Soap pc 3

12 Toilet Deodorizer pc 4

13 Doormat pc 3

14 Handsoap pack 4

INSPECTION ACCEPTANCE

Date Inspected : December 2,2019 Date Received : December 2,2019

Inspected, verified and found in order as to Complete

quantity and specifications
Partial (pls. specify quantity)

ROMUALDO D. ARO JUANCHO VAL M. RODIL

Inspection Officer/Inspection Committee Supply and/or Property Custodian

155