ACCEPTANCE AND INSPECTION REPORT

Barangay: IBABANG BUTNONG Municipality: Magdalena

Tel No.: Province: Laguna

Supplier: NOVEE ONE GEN. MERCHANDISING Invoice AIR No. RIS No.
PO No.: 20-02- Number Date: Date:
Date: 2/18/2020 Date:
Unit Description Quantity
PC FOLDING BED WITH FOAM 1
PC PILLOW 2
PC BLANKET 1
PACK UNDERWEAR PANTY 1
PACK UNDERWEAR BRA 1
PC TOWEL 1
PC FACE TOWEL 1
YARDS PLASTIC COVER 2
PC TOOTH PASTE 1
PC TOOTH BRUSH 1
PC BATH SOAP 1
BOTTLE ALCOHOL 1
PC DURABOX 1

ACCEPTANCE INSPECTION
Date Received: Date Inspected:

/ Complete / Inspected, verified as to quantity

and specifications
Partial (pls specify quantity received

ELENITA R. ROGUIN EVELYN G. ORTEGA

Signature over Printed Name Signature over Printed Name
Barangay Treasurer Authorized Inspector
 ACCEPTANCE AND INSPECTION REPORT
Barangay: Alipit Municipality: Magdalena
Tel No.: Province: Laguna

Supplier: Kamaina General Merchandise Invoice AIR No. RIS No.

PO No.: 2020-01-001 Number 123 Date: Date:
Date: 1/1/2020 Date: 1/1/2020
Unit Description Quantity
ream bond paper, long 5
ream bond paper, short 5
box ballpen 1

ACCEPTANCE INSPECTION
Date Received: Date Inspected:

/ Complete / Inspected, verified as to quantity

and specifications
Partial (pls specify quantity received

Erlyn Pepot
Signature over Printed Name Signature over Printed Name
Barangay Treasurer Authorized Inspector