Appendix 62

INSPECTION AND ACCEPTANCE REPORT

Entity Name : Bacao Elementary School Fund Cluster : 01-101101

Supplier : PJ11 DRY GOODS STORE IAR No. : 00008-0024-2021

PO No./Date : 00008-0023-2021/ August 23,2021 Date : 08/24/2021
Requisitioning Office/Dept. : Bacao Elementary School Invoice No. : '1932
Responsibility Center Code : 107957 Date : 08/23/2021

Stock/
Description Unit Quantity
Property No.
1 ALCOHOL gal 13
2 DYNAST DISINFECTANT gal 5
3 HAND SANITIZER FRUITY BERRIES gal 2
4 HENGDE FACEMASK box 11
5 FACE SHIELD pcs 2
6 REFILL ACETATE pc. 1

INSPECTION ACCEPTANCE

Date Inspected : 08/24/2021 Date Received : 08/24/2021

Inspected, verified and found in order as to quantity and Complete

specifications
Partial (pls. specify quantity)

Ghie Q. Bergado MICHELLE C. NOCON Annie Belle L. Dapar

GPTA President President (Teachers Association) Supply and/or Property Custodian