SUMMARY POL PRODUCTS WITHDRAWAL

For the Month of ________________________ 20_______

DATE Gasoline Diesel fuel

SUMMARY OF GENERATOR’S CONSUMPTION REPORT

For the Month of ________________________ 20_______

Gas Diesel
Beginning Balance ______________ ________________
Additional Total Insurance ______________ ________________
Less Total Consumption ______________ ________________
Balance Ending ______________ ________________
-------------------------------------------------------------------------------------------------------------------------------

A.M Time P.M Consumption Remarks

Date Places
Started Ended Gas Diesel

Submitted by: Noted by:

_________________________ Antonio F. Pascua Jr.
Administrative Officer V