Appendix 62

INSPECTION AND ACCEPTANCE REPORT

Entity Name : __ Nalhub ES Fund Cluster : ___________

Supplier : ___LIGHTPEARL ENTERPRISES__________________________________________

IAR No. : _______________
PO No./Date : ___________________________________________ Date : _________________
Requisitioning Office/Dept. : _______________________________ Invoice No. : ____________
Responsibility Center Code : _______________________________ Date : _________________

Stock/
Description Unit Quantity
Property No.
1 C-purlins 2x3 card 1
2 Angle bar 3/16 x 1 1/2
3 Angle bar 3/16 x 1
4 Fuji rod
5 10mm def bars
6 Zinc 22x10
7 Zinc 22x8
8 Zinc 22x6
9 Text screw
10 Sand flex

INSPECTION ACCEPTANCE

Date Inspected : ________________________ Date Received : _____________________

Inspected, verified and found in order as to Complete

/ quantity and specifications /
Partial (pls. specify quantity)

JESUS EMMANUEL M. ZOZOBRADO EMILITO PAZ

Inspection Officer/Inspection Committee Supply and/or Property Custodian

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