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Appendix 62

INSPECTION AND ACCEPTANCE REPORT

Entity Name : DEPARTMENT OF EDUCATION, DIVISION OF MASBATE Fund Cluster : _____________________

Supplier : ________________________________________ IAR No. : __________________________


PO No./Date : _____________________________________ Date : _________________________
Requisitioning Office/Dept. : DAPDAP E/S Invoice No. _________________________
Responsibility Center Code : ______________________________Date : _________________________

Stock/
Property No. Description Unit Quantity

Project No. GOOD-2021-01-001 Provision of Supply and Delivery


of Powdered Milk for the Implementation of School Based Feeding
Program- Milk Feeding Program for School Year 2020-2021

POWDERED MILK pouches

INSPECTION ACCEPTANCE
Date Inspected:
Date Received :

Inspected, verified and found in


order as to quantity and Complete -
specifications
Partial (pls. specify quantity)

MITZI B. CAPELLAN
School SBFP Coordinator

JANET A. SUBITO
School Property Custodian

JOAN A. JACA
School Head MA. LYZZA E. MARCAIDA
Inspection Officer/Inspection Committee District Property Custodian

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