Appendix 62

INSPECTION AND ACCEPTANCE REPORT

Entity Name : Department of Education Fund Cluster : 01

Rico & Tess Enterprises

Supplier : IAR No. : 2020-09-031
PO No./Date : 2020-09-031/ September 30, 2020 Date : September 30, 2020
Requisitioning Office/Dept. : Nasugbu East Senior High School Invoice No. :
Responsibility Center Code : Date : September 30, 2020

Stock/
Description Unit Quantity
Property No.
1 Stapler (Heavy Duty w/ Remover) Pcs 1
2 Stapler Remover Pcs 2
3 Mouse Pad Pcs 1
4 Ballpen with Stand Pcs 2
5 Magazine File Box (Green) Pcs 5
6 Puncher Pcs 2
7 Staple wire Box 38
8 Epson L3110-003 Ink (Black) Bottle 10
9 HP 680 (Cartridge-Black) Pcs 1
10 Flex Stick Ballpen Box 12
11 Alcohol Galon 5
12 Trash Can Medium Pcs 10
13 Pail Medium Pcs 10
14 Dipper Medium Pcs 10
15 Foot Bath Pcs 6
16 Spraybottle Pcs 2
17 Disposable rubber gloves Box 3
18 Lysol Can 5
19 Face Shield Pcs 20
20 Epson Black Ink -664 Bottle 55
21 A4 Bond Paper Boxes 20
22 Clear Folder A4 Pcs 13

INSPECTION ACCEPTANCE

Date Inspected :____________________ March 11, 2020 Date Received : ___________________March 11, 2020

Inspected, verified and found in order as to / Complete

/ quantity and specifications
Partial (pls. specify quantity)

______________________________ _________________________
JOSIE B. GAYNILO LYSTER D. MUSA
 Stock/
Description Unit Quantity
Property No.
Inspection Officer/Inspection Committee Supply and/or Property Custodian