PROPERTY ACKNOWLEDGEMENT RECEIPT

Department of Education
DIVISION OF CITY OF SAN FERNANDO

Quantity Unit Description Property No.

Received by: Received from:

_____________________________ ROSS ANTONIUS L. GALAY
Signature over printed name Signature over printed name

_____________________________ _____________________________
Position/Office Position/Office

_____________________________ _____________________________
Date Date

PROPERTY ACKNOWLEDGEMENT RECEIPT

Department of Education
DIVISION OF CITY OF SAN FERNANDO

Quantity Unit Description Property No.

Received by: Received from:

_____________________________ ROSS ANTONIUS L. GALAY
Signature over printed name Signature over printed name

_____________________________ _____________________________
Position/Office Position/Office

_____________________________ _____________________________
Date Date

PROPERTY ACKNOWLEDGEMENT RECEIPT

Department of Education
DIVISION OF CITY OF SAN FERNANDO

Quantity Unit Description Property No.

Received by: Received from:

_____________________________ ROSS ANTONIUS L. GALAY
Signature over printed name Signature over printed name

_____________________________ _____________________________
Position/Office Position/Office

_____________________________ _____________________________
Date Date