Operations Review Checklist (Revised January 27, 2021) TR Form 3

TUNAREPUBLIK, INC.
Head Office: Barangay 4, San Francisco, Agusan del Sur
Contact Number: 0917-702-4699
Email Address: tunarepublik@gmail.com

OPERATIONS REVIEW CHECKLIST

Branch : CDO-GUSA
Address : BRGY. GUSA, NAT'L HIGHWAY, CDO
Date : FEB. 12, 2021

COVID-19 PREVENTION & CONTROL

Implementation of minimum health and safety protocols
Screening Crew installed? yes no
if yes, specify name of crew: Gerome Conguit Position:_ Dining Crew______ ______________
Footbath provided? yes no
Thermal Gun/Scanner provided? yes no
QR Code Scanner applicable? yes no
Handwashing area provided? yes no
Social Distancing upheld? yes no
Alcohol/Sanitizer provided? yes no
Contact Tracing Form provided? yes no
Informative materials rightly posted? yes no
Temperature Logbook for employees updated? yes no
Remarks: No temperature on logbook of employees.

ACCOUNTING/HR/ADMIN
posting of documents required by government posted within store premises
1 Business Permit/Business Plate posted? yes no
2 Certificate of Registration posted? yes no
3 Sanitary Permit posted? yes no
4 Fire Safety Inspection Certificate (FSIC) posted? yes no
5 BIR Form 0605 (Annual Registration Fee) posted? yes no
6 "Ask for Receipt" Notice posted? yes no
Remarks:

entry of books of accounts

are the books on sales and expenses available in the store? yes no
is the book on sales updated? yes no
is the book on expenses updated? yes no
does the figure reflected in the books coincide with actual OR issuances? yes no

Page 1 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

(Month)Dec.2020 Sales on Book Sales per OR(b) +/-

(Date) 1 3,810.00 3,810.00 -
2 21,223.00 21,223.00 -
3 18,814.00 18,814.00 -
4 10,740.00 10,740.00 -
5 15,813.00 15,883.00 - 70.00
6 17,494.00 17,494.00 -
7 5,904.00 5,904.00 -
8 20,482.00 20,482.00 -
9 12,134.00 12,134.00 -
10 12,876.00 12,876.00 -
11 16,865.00 16,205.00 660.00
12 4,124.00 4,124.00 -
13 3,326.00 3,326.00 -
14 8,441.00 8,441.00 -
15 13,873.00 13,864.00 9.00
Total 185,919.00 185,320.00 599.00
Remarks: OR Issuance from January 2020 up to July 2020
not declare on the columnar book.

are the amounts issued OR represent at least 40% of actual sales? yes no
Month Actual Sales With OR %
AUGUST 1,223,968.00 283,224.00 23.1
SEPT. 1,185,438.50 444,829.00 37.5
OCTOBER 1,339,279.75 483,971.00 36.1

3,748,686.25 1,212,024.00 32.3

Remarks:

is the percentage ratio between sales and expenses ideal for business? yes no

Month Sales (a) Expenses (b) % b/a

AUGUST 1,223,968.00 578,666.61 47.27
SEPTEMBER 1,185,438.50 642,172.55 54.17
OCTOBER 1,339,279.75 842,622.15 62.91

Total 3,748,686.25 2,063,461.31 1,685,224.94

Remarks: The expenses of January 2020 up to January 2021 is not written/declare in
disbursement book.
The expenses is in mixed with the purchases book.

Page 2 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

random checking of order slips versus sales of the day

is the sales figure in the sales logbook tally with the figures in the OS? yes no

(Month)Dec.2020 Actual Sales (a) Sales per OS (b) +/-

(Date) 1 39,917.00 39,917.00 -
2 47,679.00 47,766.00 - 87.00
3 46,175.00 46,176.00 999.00
4 38,376.00 38,906.00 - 530.00
5 55,130.00 55,030.00 100.00
6 51,991.00 52,312.00 - 321.00
7 43,273.00 43,395.00 - 122.00
8 55,792.00 55,792.00 -
9 42,600.00 42,610.00 - 10.00
10 58,337.00 58,337.00 -
11 67,825.00 67,755.00 70.00
12 56,392.00 56,419.00 - 27.00
13 53,045.00 53,035.00 10.00
14 46,067.00 45,952.00 115.00
15 57,859.00 57,886.00 - 27.00
Total 760,458.00 761,288.00 - 830.00
Remarks:

cash count
is the actual amount of cash in vault coincides with the daily report? yes no
Remarks:
filing of payrolls
Remarks:
filing of Approved Leave Applications
Remarks: Commissary
filing of IR/NTE & NTE Reply/Memorandums & Other Issuances
Remarks: Commissary
attendance logbook/sheet entry
Remarks:
fiing of used OS, OR issuances and OR on purchases
Remarks:

logbook on actual sales and expenses

Remarks:
record of unused Official Receipts (OR) and Order Slips (OS)
ORDER SLIPS OFFICIAL RECEIPTS
Stub No. Serial No. Stub No. Serial No.

(Use separate sheet if necessary)

Remarks: Please see in separate sheet.

Page 3 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

compliance on TIN, SSS, PHIC & HDMF numbers

Total # of Staff 16
with SSS # 16
with PHIC # 16
with HDMF # 16
with TIN 16
Remarks:

BRANCH PERSONNEL ASSIGNMENT SCHEDULE

No. NAME OF EMPLOYEE Area of Assignment APPOINTMENT STATUS

1 JESSIE PURISIMA KITCHEN CREW REGULAR
2 ANECITA DELA VICTORIA DINING CREW REGULAR
3 JENELYN CIA MANAGER REGULAR
4 EMMA JANE PURISIMA TAKE ORDER REGULAR
5 RUCHELENE BERASES SERVICE CREW REGULAR
6 IRISH PACAONCIS CASHIER REGULAR
7 EDMAR CONGUIT DINING CREW REGULAR
8 JEROME CONGUIT CREW REGULAR
9 RUDEL BANGLID KITCHEN CREW REGULAR
10 JERON PUNDOG KITCHEN CREW REGULAR
11 RUEBEN BADE DINING CREW REGULAR
12 JASFER BOQUE CREW REGULAR
13 JOJO LAHINDAO WASHER REGULAR
14 GINO SAGUIWAN CREW REGULAR
15 RONEL DIANAN KITCHEN CREW REGULAR
16 ALEX MANLANGIT PROBITIONARY

does the branch have personnel daily task schedule? yes no

if yes, is it duly posted inside the branch for guidance of employees? yes no
please attach picture of the daily task schedule of the branch.

compliance to basic company policies

are branch crews wearing the prescribed complete uniform? yes no
do branch crews deposit personal phones during work hours? yes no
were records of tardiness and absences properly reported and sanctioned? yes no
Remarks: For the record of tardiness and absences none.

UTENSILS USED
containers for rice, cooking pots for tinola, soup bowls, saucers and plates
are there any which are discolored and needs replaced?
Remarks: Discolored of Containers for Rice, soup bowl ,saucers and plates and need to replaced.
glass
Remarks:

Page 4 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

spoon & Fork

Remarks:
spoon/Fork Heater
Remarks:
others: (specify)
Remarks:
containers for take-out orders
1 sisig available? yes no
Remarks: CHARGE 7 PESOS
2 bagaybay available? yes no
Remarks: CHARGE 15 PESOS
3 sinugba available? yes no
Remarks:
4 tinola available? yes no
Remarks: CHARGE 20 PESOS
5 pancit available? yes no
Remarks: CHARGE 15 PESOS
6 dynamite available? yes no
Remarks: CHARGE 15 PESOS
7 nuggets available? yes no
Remarks: CHARGE 15 PESOS
8 paksiw available? yes no
Remarks: CHARGE 20 PESOS
9 kinilaw available? yes no
Remarks: CHARGE 15 PESOS
10 sashimi available? yes no
Remarks: CHARGE 15 PESOS
11 crispy buntot available? yes no
Remarks: CHARGE 20 PESOS
12 bicol express available? yes no
Remarks: CHARGE 15 PESOS
13 for rice take-outs, what container does the branch use? Pls. attach picture.

Rice wrapper

14 for rice servings, please attach picture of the measuring cup and the cup of rice served.

use of paper bags available? yes no

Remarks:
use of eco bags available? yes no
Remarks: Small Eco bag charge 5 pesos.
Medium Eco bag charge 10 pesos.

Page 5 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

TR BUILDING (CLEANLINESS & APPROPRIATENESS)

Building Perspective (please attach front view, side view and back view pictures of the store
(daytime and night time setting)
is the store signage conforms with what is TR prescribed? yes no
is the store signage well-lit? yes no
is the store signage free from very noticeable dirts and marks? yes no
is the store well lighted when viewed from the outside? yes no
are the "amakan" walls well painted and/or varnished? yes no
are steel bar wallings painted and are free from cobwebs? yes no
Remarks:

Parking Area
is parking area available for customers? yes no
is there a parking area exlusively designated for delivery riders? yes no
is there a crew assigned to guide customers in and out the parking area? yes no
Remarks:

Comfort Room
is there a garbage bin inside? yes no
is soap available? yes no
is toilet paper available? yes no
is there a bidet? yes no
is pail and dipper available? yes no
is the flooring maintained clean? yes no
Remarks:

Washing Area
is there a hand dryer? yes no
if no hand dryer, is tissue paper available? yes no
is soap for handwashing available? yes no
is water readily available? yes no
Remarks:

Function Room
is it with a glass wall? yes no
is glass board present? yes no
is there an airconditioner? yes no
is flooring maintained clean? yes no
Remarks:

Page 6 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

Dining Area
are tables and chairs used are those which are prescribed by TR? yes no
are tables and chairs free from dirt? yes no
are tissue papers, soy sauce and vinegar containers available on tables? yes no
are TR prescribed lamp baskets generally noticeable? yes no
are lamp baskets and ceiling free from dirts and cobwebs? yes no
can "amakan" be readily observed as a prominent store feature? yes no
Remarks:

Counter Area
are priority numbers given to customers in series? yes no
is the display area clean and well lit using a warm white color bulb? yes no
is alcohol and/or hand sanitizer available? yes no
is the "bugang" decorative present underneath the display area? yes no
is the "bugang" decorative lighted with warm white lighting? yes no
Remarks:

Kitchen Area
is there a need to install additional burner? yes no
if yes, cite reason:
is there a need to purchase and install additional stove? yes no
if yes, cite reason:
is there a need to purchase kitchen utensil/s? yes no
if yes, specify and cite reason:
Plate for Dynamite
Round Plate for Rice
Soup Bowl
Pots for Tinola

are freezers regularly maintained clean? yes no

is "sinamak" stored in a glass container and not in a plastic one? yes no
are spices kept in plastic containers, not on the floor? yes no
are cooking ingredients stored properly and are made always available? yes no
Remarks: No proper arrangement of spices wala man siya
sa floor but katagkatag ang pagbutang.
Dirty containers of Sinamak.
Cleaning of freezer every weekly.

Page 7 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

GENERAL CLEANING
is there a regular shedule for general cleaning? yes no
if yes, please specify regular schedule. Every end of the month.
Remarks:

SECURITY & MONITORING

CCTV
are there CCTV cameras strategically located in the store premises? yes no
are CCTVs working well? yes no
Remarks: 7 CCTV Installed.

DELIVERY SERVICES

does the branch offers delivery service? yes no

does the branch employ/designates a delivery boy? yes no
does the branch has Food Panda delivery service? yes no
if yes, please provide menu price details per food panda device.
TR Menu Price
Tinola 160
Kinilaw 160
Sisig 125
Dynamite 125
Bagaybay 125
Pancit 160
Bicol Express 160

CONSIGNMENTS
are the mark up for consignments at least 20% of the remittance price? yes no

Product Remittance (a) Mark-up (b) % b/a

Calamansi Juice 45 20 44.4
Buko Pandan 80 20 25
Mango Float 80 20 25
Tapioca 80 20 25

(Use separate sheet if necessary)

Page 8 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

BRANCH SUPPLIER DETAILS

Goods/Items Supplier Name Supplier Address Contact No.

Oyster/Paprika/Pepper YSU Macaman-an , cdo

(Use separate sheet if necessary)

BRANCH PAYABLES
are there records of accounts payable? yes no
if yes, give details:
PAYEE PARTICULAR AMOUNT

(Use separate sheet if necessary) TOTAL

TIP AND PENALTY BOX

does the branch have tip/penalty box? yes no
if yes, does the proceeds subject for equal sharing by branch employees? yes no
is the tip/penalty box proceeds offered for loan/borrowing services by the employees?
yes no
please give general idea on how tip and penalty box is being handled in the branch.

Equal Sharing and Cash Sharing

Page 9 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

BEST PRACTICES
are there new practice/s found in the branch which are worth replicating yes no
in the other branches?
if yes, cite details:
Cleanliness from the oustside view and Dining area.
Proper wearing attire of the Staff/Crew.

OTHER ISSUES & CONCERNS OBSERVED

are there issues and concerns otherwise not specified above but which yes no
you think are worth to be given due attention?
if yes, cite details:
Very messy and dirty kitchen .
No proper arrangement of Utensils and etc.

PREPARED AND SUBMITTED THIS ______ DAY OF ________ 2021 TO THE BOARD OF
DIRECTORS OF TUNAREPUBLIK, INC. FOR THEIR INFORMATION AND CONSIDERATION.

SHARLYN J. CALIBAYAN

Page 10 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

UNUSED
ORDER SLIPS OFFICIAL RECEIPTS
Stub No. Serial No. Stub No. Serial No.
94 91651-91700 208 26601-26650
95 91701-91750 209 26651-26700
96 91751-91800 210 26701-26750
97 91801-91850 211 26751-26800
98 91851-91900 212 26801-26880
99 91901-91950 213 26851-26900
100 91951-92000 214 26901-26950
19 93051-93100 215 26951-27000
20 93101-93150 216 27001-27050
21 92001-92050 217 27051-27100
22 92051-92100 218 27101-27150
23 92101-92150 219 27151-27200
24 93151-93200 220 27201-27250
25 93201-93250 221 27251-27300
26 93251-93300 222 27301-27350
27 93301-93350 223 27351-27400
28 93351-93400 224 27401-27450
29 93401-93450 225 27451-27500
30 93451-93500 226 27501-27550
31 93501-93550 227 27551-27600
32 93551-93600 228 27601-27650
33 93601-93650 229 27651-27700
34 93651-93700 230 27701-27750
35 93701-93750 231 27751-27800
36 93751-93800 232 27801-27850
37 93801-93850 233 27851-27900
38 93851-93900 234 27901-27950
235 27951-28000
236 28001-28050
237 28051-28100
238 28101-28150
239 28151-28200
240 28201-28250
241 28251-28300
242 28301-28350
243 28351-28400
244 28401-28450
245 28451-28500
246 28501-28550
247 28551-28600
248 28601-28650

Page 11 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

OFFICIAL RECEIPTS OFFICIAL RECEIPTS

Stub No. Serial No. Stub No. Serial No.
249 28651-28700 296 31001-31050
250 28701-28750 297 31051-31100
251 28751-28800 298 31101-31150
252 28801-28850 299 31151-31200
253 28851-28900 300 31201-31250
254 28901-28950
255 28951-29000
256 29001-29050
257 29051-29100
258 29101-29150
259 29151-29200
260 29201-29250
261 29251-29300
262 29301-29350
263 29351-29400
264 29401-29450
265 29451-29500
266 29501-29550
267 29551-29600
268 29601-29650
269 29651-29700
270 29701-29750
271 29751-29800
272 29801-29850
273 29851-29900
274 29901-29950
275 29951-30000
276 30001-30050
277 30051-30100
278 30101-30150
279 30151-30200
280 30201-30250
281 30251-30300
282 30301-30350
283 30351-30400
284 30401-30450
285 30451-30500
286 30501-30550
287 30551-30600
288 30601-30650
289 30651-30700
290 30701-30750
291 30751-30800
292 30801-30850
293 30851-30900
294 30901-30950
295 30951-31000

Page 12 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

USED OFFICIAL RECEIPT

ORDER SLIPS OFFICIAL RECEIPTS
Stub No. Serial No. Stub No. Serial No.

Page 13 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

TUNAREPUBLIK, INC.
Head Office: Barangay 4, San Francisco, Agusan del Sur
Contact Number: 0917-702-4699
Email Address: tunarepublik@gmail.com

OPERATIONS REVIEW CHECKLIST

Branch : CDO-GUSA
Address : BRGY. GUSA, NAT'L HIGHWAY, CDO
Date : FEB. 12, 2021

COVID-19 PREVENTION & CONTROL

Implementation of minimum health and safety protocols
Screening Crew installed? yes no
if yes, specify name of crew: Gerome Conguit Position:_ Dining Crew______ ______________
Footbath provided? yes no
Thermal Gun/Scanner provided? yes no
QR Code Scanner applicable? yes no
Handwashing area provided? yes no
Social Distancing upheld? yes no
Alcohol/Sanitizer provided? yes no
Contact Tracing Form provided? yes no
Informative materials rightly posted? yes no
Temperature Logbook for employees updated? yes no
Remarks: No temperature on logbook of employees.

ACCOUNTING/HR/ADMIN
posting of documents required by government posted within store premises
1 Business Permit/Business Plate posted? yes no
2 Certificate of Registration posted? yes no
3 Sanitary Permit posted? yes no
4 Fire Safety Inspection Certificate (FSIC) posted? yes no
5 BIR Form 0605 (Annual Registration Fee) posted? yes no
6 "Ask for Receipt" Notice posted? yes no
Remarks:

entry of books of accounts

are the books on sales and expenses available in the store? yes no
is the book on sales updated? yes no
is the book on expenses updated? yes no
does the figure reflected in the books coincide with actual OR issuances? yes no

Page 1 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

(Month)Dec.2020 Sales on Book Sales per OR(b) +/-

(Date) 1 3,810.00 3,810.00 -
2 21,223.00 21,223.00 -
3 18,814.00 18,814.00 -
4 10,740.00 10,740.00 -
5 15,813.00 15,883.00 - 70.00
6 17,494.00 17,494.00 -
7 5,904.00 5,904.00 -
8 20,482.00 20,482.00 -
9 12,134.00 12,134.00 -
10 12,876.00 12,876.00 -
11 16,865.00 16,205.00 660.00
12 4,124.00 4,124.00 -
13 3,326.00 3,326.00 -
14 8,441.00 8,441.00 -
15 13,873.00 13,864.00 9.00
Total 185,919.00 185,320.00 599.00
Remarks: OR Issuance from January 2020 up to July 2020
not declare on the columnar book.

are the amounts issued OR represent at least 40% of actual sales? yes no
Month Actual Sales With OR %
AUGUST 1,223,968.00 283,224.00 23.1
SEPT. 1,185,438.50 444,829.00 37.5
OCTOBER 1,339,279.75 483,971.00 36.1

3,748,686.25 1,212,024.00 32.3

Remarks:

is the percentage ratio between sales and expenses ideal for business? yes no

Month Sales (a) Expenses (b) % b/a

AUGUST 1,223,968.00 578,666.61 47.27
SEPTEMBER 1,185,438.50 642,172.55 54.17
OCTOBER 1,339,279.75 842,622.15 62.91

Total 3,748,686.25 2,063,461.31 1,685,224.94

Remarks: The expenses of January 2020 up to January 2021 is not written/declare in
disbursement book.
The expenses is in mixed with the purchases book.

Page 2 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

random checking of order slips versus sales of the day

is the sales figure in the sales logbook tally with the figures in the OS? yes no

(Month)Dec.2020 Actual Sales (a) Sales per OS (b) +/-

(Date) 1 39,917.00 39,917.00 -
2 47,679.00 47,766.00 - 87.00
3 46,175.00 46,176.00 999.00
4 38,376.00 38,906.00 - 530.00
5 55,130.00 55,030.00 100.00
6 51,991.00 52,312.00 - 321.00
7 43,273.00 43,395.00 - 122.00
8 55,792.00 55,792.00 -
9 42,600.00 42,610.00 - 10.00
10 58,337.00 58,337.00 -
11 67,825.00 67,755.00 70.00
12 56,392.00 56,419.00 - 27.00
13 53,045.00 53,035.00 10.00
14 46,067.00 45,952.00 115.00
15 57,859.00 57,886.00 - 27.00
Total 760,458.00 761,288.00 - 830.00
Remarks:

cash count
is the actual amount of cash in vault coincides with the daily report? yes no
Remarks:
filing of payrolls
Remarks:
filing of Approved Leave Applications
Remarks: Commissary
filing of IR/NTE & NTE Reply/Memorandums & Other Issuances
Remarks: Commissary
attendance logbook/sheet entry
Remarks:
fiing of used OS, OR issuances and OR on purchases
Remarks:

logbook on actual sales and expenses

Remarks:
record of unused Official Receipts (OR) and Order Slips (OS)
ORDER SLIPS OFFICIAL RECEIPTS
Stub No. Serial No. Stub No. Serial No.

(Use separate sheet if necessary)

Remarks: Please see in separate sheet.

Page 3 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

compliance on TIN, SSS, PHIC & HDMF numbers

Total # of Staff 16
with SSS # 16
with PHIC # 16
with HDMF # 16
with TIN 16
Remarks:

BRANCH PERSONNEL ASSIGNMENT SCHEDULE

No. NAME OF EMPLOYEE Area of Assignment APPOINTMENT STATUS

1 JESSIE PURISIMA KITCHEN CREW REGULAR
2 ANECITA DELA VICTORIA DINING CREW REGULAR
3 JENELYN CIA MANAGER REGULAR
4 EMMA JANE PURISIMA TAKE ORDER REGULAR
5 RUCHELENE BERASES SERVICE CREW REGULAR
6 IRISH PACAONCIS CASHIER REGULAR
7 EDMAR CONGUIT DINING CREW REGULAR
8 JEROME CONGUIT CREW REGULAR
9 RUDEL BANGLID KITCHEN CREW REGULAR
10 JERON PUNDOG KITCHEN CREW REGULAR
11 RUEBEN BADE DINING CREW REGULAR
12 JASFER BOQUE CREW REGULAR
13 JOJO LAHINDAO WASHER REGULAR
14 GINO SAGUIWAN CREW REGULAR
15 RONEL DIANAN KITCHEN CREW REGULAR
16 ALEX MANLANGIT PROBITIONARY

does the branch have personnel daily task schedule? yes no

if yes, is it duly posted inside the branch for guidance of employees? yes no
please attach picture of the daily task schedule of the branch.

compliance to basic company policies

are branch crews wearing the prescribed complete uniform? yes no
do branch crews deposit personal phones during work hours? yes no
were records of tardiness and absences properly reported and sanctioned? yes no
Remarks: For the record of tardiness and absences none.

UTENSILS USED
containers for rice, cooking pots for tinola, soup bowls, saucers and plates
are there any which are discolored and needs replaced?
Remarks: Discolored of Containers for Rice, soup bowl ,saucers and plates and need to replaced.
glass
Remarks:

Page 4 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

spoon & Fork

Remarks:
spoon/Fork Heater
Remarks:
others: (specify)
Remarks:
containers for take-out orders
1 sisig available? yes no
Remarks: CHARGE 7 PESOS
2 bagaybay available? yes no
Remarks: CHARGE 15 PESOS
3 sinugba available? yes no
Remarks:
4 tinola available? yes no
Remarks: CHARGE 20 PESOS
5 pancit available? yes no
Remarks: CHARGE 15 PESOS
6 dynamite available? yes no
Remarks: CHARGE 15 PESOS
7 nuggets available? yes no
Remarks: CHARGE 15 PESOS
8 paksiw available? yes no
Remarks: CHARGE 20 PESOS
9 kinilaw available? yes no
Remarks: CHARGE 15 PESOS
10 sashimi available? yes no
Remarks: CHARGE 15 PESOS
11 crispy buntot available? yes no
Remarks: CHARGE 20 PESOS
12 bicol express available? yes no
Remarks: CHARGE 15 PESOS
13 for rice take-outs, what container does the branch use? Pls. attach picture.

Rice wrapper

14 for rice servings, please attach picture of the measuring cup and the cup of rice served.

use of paper bags available? yes no

Remarks:
use of eco bags available? yes no
Remarks: Small Eco bag charge 5 pesos.
Medium Eco bag charge 10 pesos.

Page 5 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

TR BUILDING (CLEANLINESS & APPROPRIATENESS)

Building Perspective (please attach front view, side view and back view pictures of the store
(daytime and night time setting)
is the store signage conforms with what is TR prescribed? yes no
is the store signage well-lit? yes no
is the store signage free from very noticeable dirts and marks? yes no
is the store well lighted when viewed from the outside? yes no
are the "amakan" walls well painted and/or varnished? yes no
are steel bar wallings painted and are free from cobwebs? yes no
Remarks:

Parking Area
is parking area available for customers? yes no
is there a parking area exlusively designated for delivery riders? yes no
is there a crew assigned to guide customers in and out the parking area? yes no
Remarks:

Comfort Room
is there a garbage bin inside? yes no
is soap available? yes no
is toilet paper available? yes no
is there a bidet? yes no
is pail and dipper available? yes no
is the flooring maintained clean? yes no
Remarks:

Washing Area
is there a hand dryer? yes no
if no hand dryer, is tissue paper available? yes no
is soap for handwashing available? yes no
is water readily available? yes no
Remarks:

Function Room
is it with a glass wall? yes no
is glass board present? yes no
is there an airconditioner? yes no
is flooring maintained clean? yes no
Remarks:

Page 6 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

Dining Area
are tables and chairs used are those which are prescribed by TR? yes no
are tables and chairs free from dirt? yes no
are tissue papers, soy sauce and vinegar containers available on tables? yes no
are TR prescribed lamp baskets generally noticeable? yes no
are lamp baskets and ceiling free from dirts and cobwebs? yes no
can "amakan" be readily observed as a prominent store feature? yes no
Remarks:

Counter Area
are priority numbers given to customers in series? yes no
is the display area clean and well lit using a warm white color bulb? yes no
is alcohol and/or hand sanitizer available? yes no
is the "bugang" decorative present underneath the display area? yes no
is the "bugang" decorative lighted with warm white lighting? yes no
Remarks:

Kitchen Area
is there a need to install additional burner? yes no
if yes, cite reason:
is there a need to purchase and install additional stove? yes no
if yes, cite reason:
is there a need to purchase kitchen utensil/s? yes no
if yes, specify and cite reason:
Plate for Dynamite
Round Plate for Rice
Soup Bowl
Pots for Tinola

are freezers regularly maintained clean? yes no

is "sinamak" stored in a glass container and not in a plastic one? yes no
are spices kept in plastic containers, not on the floor? yes no
are cooking ingredients stored properly and are made always available? yes no
Remarks: No proper arrangement of spices wala man siya
sa floor but katagkatag ang pagbutang.
Dirty containers of Sinamak.
Cleaning of freezer every weekly.

Page 7 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

GENERAL CLEANING
is there a regular shedule for general cleaning? yes no
if yes, please specify regular schedule. Every end of the month.
Remarks:

SECURITY & MONITORING

CCTV
are there CCTV cameras strategically located in the store premises? yes no
are CCTVs working well? yes no
Remarks: 7 CCTV Installed.

DELIVERY SERVICES

does the branch offers delivery service? yes no

does the branch employ/designates a delivery boy? yes no
does the branch has Food Panda delivery service? yes no
if yes, please provide menu price details per food panda device.
TR Menu Price
Tinola 160
Kinilaw 160
Sisig 125
Dynamite 125
Bagaybay 125
Pancit 160
Bicol Express 160

CONSIGNMENTS
are the mark up for consignments at least 20% of the remittance price? yes no

Product Remittance (a) Mark-up (b) % b/a

Calamansi Juice 45 20 44.4
Buko Pandan 80 20 25
Mango Float 80 20 25
Tapioca 80 20 25

(Use separate sheet if necessary)

Page 8 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

BRANCH SUPPLIER DETAILS

Goods/Items Supplier Name Supplier Address Contact No.

Oyster/Paprika/Pepper YSU Macaman-an , cdo

(Use separate sheet if necessary)

BRANCH PAYABLES
are there records of accounts payable? yes no
if yes, give details:
PAYEE PARTICULAR AMOUNT

(Use separate sheet if necessary) TOTAL

TIP AND PENALTY BOX

does the branch have tip/penalty box? yes no
if yes, does the proceeds subject for equal sharing by branch employees? yes no
is the tip/penalty box proceeds offered for loan/borrowing services by the employees?
yes no
please give general idea on how tip and penalty box is being handled in the branch.

Equal Sharing and Cash Sharing

Page 9 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

BEST PRACTICES
are there new practice/s found in the branch which are worth replicating yes no
in the other branches?
if yes, cite details:
Cleanliness from the oustside view and Dining area.
Proper wearing attire of the Staff/Crew.

OTHER ISSUES & CONCERNS OBSERVED

are there issues and concerns otherwise not specified above but which yes no
you think are worth to be given due attention?
if yes, cite details:
Very messy and dirty kitchen .
No proper arrangement of Utensils and etc.

PREPARED AND SUBMITTED THIS ______ DAY OF ________ 2021 TO THE BOARD OF
DIRECTORS OF TUNAREPUBLIK, INC. FOR THEIR INFORMATION AND CONSIDERATION.

SHARLYN J. CALIBAYAN

Page 10 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

UNUSED
ORDER SLIPS OFFICIAL RECEIPTS
Stub No. Serial No. Stub No. Serial No.
94 91651-91700 208 26601-26650
95 91701-91750 209 26651-26700
96 91751-91800 210 26701-26750
97 91801-91850 211 26751-26800
98 91851-91900 212 26801-26880
99 91901-91950 213 26851-26900
100 91951-92000 214 26901-26950
19 93051-93100 215 26951-27000
20 93101-93150 216 27001-27050
21 92001-92050 217 27051-27100
22 92051-92100 218 27101-27150
23 92101-92150 219 27151-27200
24 93151-93200 220 27201-27250
25 93201-93250 221 27251-27300
26 93251-93300 222 27301-27350
27 93301-93350 223 27351-27400
28 93351-93400 224 27401-27450
29 93401-93450 225 27451-27500
30 93451-93500 226 27501-27550
31 93501-93550 227 27551-27600
32 93551-93600 228 27601-27650
33 93601-93650 229 27651-27700
34 93651-93700 230 27701-27750
35 93701-93750 231 27751-27800
36 93751-93800 232 27801-27850
37 93801-93850 233 27851-27900
38 93851-93900 234 27901-27950
235 27951-28000
236 28001-28050
237 28051-28100
238 28101-28150
239 28151-28200
240 28201-28250
241 28251-28300
242 28301-28350
243 28351-28400
244 28401-28450
245 28451-28500
246 28501-28550
247 28551-28600
248 28601-28650

Page 11 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

OFFICIAL RECEIPTS OFFICIAL RECEIPTS

Stub No. Serial No. Stub No. Serial No.
249 28651-28700 296 31001-31050
250 28701-28750 297 31051-31100
251 28751-28800 298 31101-31150
252 28801-28850 299 31151-31200
253 28851-28900 300 31201-31250
254 28901-28950
255 28951-29000
256 29001-29050
257 29051-29100
258 29101-29150
259 29151-29200
260 29201-29250
261 29251-29300
262 29301-29350
263 29351-29400
264 29401-29450
265 29451-29500
266 29501-29550
267 29551-29600
268 29601-29650
269 29651-29700
270 29701-29750
271 29751-29800
272 29801-29850
273 29851-29900
274 29901-29950
275 29951-30000
276 30001-30050
277 30051-30100
278 30101-30150
279 30151-30200
280 30201-30250
281 30251-30300
282 30301-30350
283 30351-30400
284 30401-30450
285 30451-30500
286 30501-30550
287 30551-30600
288 30601-30650
289 30651-30700
290 30701-30750
291 30751-30800
292 30801-30850
293 30851-30900
294 30901-30950
295 30951-31000

Page 12 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

USED OFFICIAL RECEIPT

ORDER SLIPS OFFICIAL RECEIPTS
Stub No. Serial No. Stub No. Serial No.

Page 13 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

TUNAREPUBLIK, INC.
Head Office: Barangay 4, San Francisco, Agusan del Sur
Contact Number: 0917-702-4699
Email Address: tunarepublik@gmail.com

OPERATIONS REVIEW CHECKLIST

Branch : CDO-GUSA
Address : BRGY. GUSA, NAT'L HIGHWAY, CDO
Date : FEB. 12, 2021

COVID-19 PREVENTION & CONTROL

Implementation of minimum health and safety protocols
Screening Crew installed? yes no
if yes, specify name of crew: Gerome Conguit Position:_ Dining Crew______ ______________
Footbath provided? yes no
Thermal Gun/Scanner provided? yes no
QR Code Scanner applicable? yes no
Handwashing area provided? yes no
Social Distancing upheld? yes no
Alcohol/Sanitizer provided? yes no
Contact Tracing Form provided? yes no
Informative materials rightly posted? yes no
Temperature Logbook for employees updated? yes no
Remarks: No temperature on logbook of employees.

ACCOUNTING/HR/ADMIN
posting of documents required by government posted within store premises
1 Business Permit/Business Plate posted? yes no
2 Certificate of Registration posted? yes no
3 Sanitary Permit posted? yes no
4 Fire Safety Inspection Certificate (FSIC) posted? yes no
5 BIR Form 0605 (Annual Registration Fee) posted? yes no
6 "Ask for Receipt" Notice posted? yes no
Remarks:

entry of books of accounts

are the books on sales and expenses available in the store? yes no
is the book on sales updated? yes no
is the book on expenses updated? yes no
does the figure reflected in the books coincide with actual OR issuances? yes no

Page 1 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

(Month)Dec.2020 Sales on Book Sales per OR(b) +/-

(Date) 1 3,810.00 3,810.00 -
2 21,223.00 21,223.00 -
3 18,814.00 18,814.00 -
4 10,740.00 10,740.00 -
5 15,813.00 15,883.00 - 70.00
6 17,494.00 17,494.00 -
7 5,904.00 5,904.00 -
8 20,482.00 20,482.00 -
9 12,134.00 12,134.00 -
10 12,876.00 12,876.00 -
11 16,865.00 16,205.00 660.00
12 4,124.00 4,124.00 -
13 3,326.00 3,326.00 -
14 8,441.00 8,441.00 -
15 13,873.00 13,864.00 9.00
Total 185,919.00 185,320.00 599.00
Remarks: OR Issuance from January 2020 up to July 2020
not declare on the columnar book.

are the amounts issued OR represent at least 40% of actual sales? yes no
Month Actual Sales With OR %
AUGUST 1,223,968.00 283,224.00 23.1
SEPT. 1,185,438.50 444,829.00 37.5
OCTOBER 1,339,279.75 483,971.00 36.1

3,748,686.25 1,212,024.00 32.3

Remarks:

is the percentage ratio between sales and expenses ideal for business? yes no

Month Sales (a) Expenses (b) % b/a

AUGUST 1,223,968.00 578,666.61 47.27
SEPTEMBER 1,185,438.50 642,172.55 54.17
OCTOBER 1,339,279.75 842,622.15 62.91

Total 3,748,686.25 2,063,461.31 1,685,224.94

Remarks: The expenses of January 2020 up to January 2021 is not written/declare in
disbursement book.
The expenses is in mixed with the purchases book.

Page 2 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

random checking of order slips versus sales of the day

is the sales figure in the sales logbook tally with the figures in the OS? yes no

(Month)Dec.2020 Actual Sales (a) Sales per OS (b) +/-

(Date) 1 39,917.00 39,917.00 -
2 47,679.00 47,766.00 - 87.00
3 46,175.00 46,176.00 999.00
4 38,376.00 38,906.00 - 530.00
5 55,130.00 55,030.00 100.00
6 51,991.00 52,312.00 - 321.00
7 43,273.00 43,395.00 - 122.00
8 55,792.00 55,792.00 -
9 42,600.00 42,610.00 - 10.00
10 58,337.00 58,337.00 -
11 67,825.00 67,755.00 70.00
12 56,392.00 56,419.00 - 27.00
13 53,045.00 53,035.00 10.00
14 46,067.00 45,952.00 115.00
15 57,859.00 57,886.00 - 27.00
Total 760,458.00 761,288.00 - 830.00
Remarks:

cash count
is the actual amount of cash in vault coincides with the daily report? yes no
Remarks:
filing of payrolls
Remarks:
filing of Approved Leave Applications
Remarks: Commissary
filing of IR/NTE & NTE Reply/Memorandums & Other Issuances
Remarks: Commissary
attendance logbook/sheet entry
Remarks:
fiing of used OS, OR issuances and OR on purchases
Remarks:

logbook on actual sales and expenses

Remarks:
record of unused Official Receipts (OR) and Order Slips (OS)
ORDER SLIPS OFFICIAL RECEIPTS
Stub No. Serial No. Stub No. Serial No.

(Use separate sheet if necessary)

Remarks: Please see in separate sheet.

Page 3 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

compliance on TIN, SSS, PHIC & HDMF numbers

Total # of Staff 16
with SSS # 16
with PHIC # 16
with HDMF # 16
with TIN 16
Remarks:

BRANCH PERSONNEL ASSIGNMENT SCHEDULE

No. NAME OF EMPLOYEE Area of Assignment APPOINTMENT STATUS

1 JESSIE PURISIMA KITCHEN CREW REGULAR
2 ANECITA DELA VICTORIA DINING CREW REGULAR
3 JENELYN CIA MANAGER REGULAR
4 EMMA JANE PURISIMA TAKE ORDER REGULAR
5 RUCHELENE BERASES SERVICE CREW REGULAR
6 IRISH PACAONCIS CASHIER REGULAR
7 EDMAR CONGUIT DINING CREW REGULAR
8 JEROME CONGUIT CREW REGULAR
9 RUDEL BANGLID KITCHEN CREW REGULAR
10 JERON PUNDOG KITCHEN CREW REGULAR
11 RUEBEN BADE DINING CREW REGULAR
12 JASFER BOQUE CREW REGULAR
13 JOJO LAHINDAO WASHER REGULAR
14 GINO SAGUIWAN CREW REGULAR
15 RONEL DIANAN KITCHEN CREW REGULAR
16 ALEX MANLANGIT PROBITIONARY

does the branch have personnel daily task schedule? yes no

if yes, is it duly posted inside the branch for guidance of employees? yes no
please attach picture of the daily task schedule of the branch.

compliance to basic company policies

are branch crews wearing the prescribed complete uniform? yes no
do branch crews deposit personal phones during work hours? yes no
were records of tardiness and absences properly reported and sanctioned? yes no
Remarks: For the record of tardiness and absences none.

UTENSILS USED
containers for rice, cooking pots for tinola, soup bowls, saucers and plates
are there any which are discolored and needs replaced?
Remarks: Discolored of Containers for Rice, soup bowl ,saucers and plates and need to replaced.
glass
Remarks:

Page 4 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

spoon & Fork

Remarks:
spoon/Fork Heater
Remarks:
others: (specify)
Remarks:
containers for take-out orders
1 sisig available? yes no
Remarks: CHARGE 7 PESOS
2 bagaybay available? yes no
Remarks: CHARGE 15 PESOS
3 sinugba available? yes no
Remarks:
4 tinola available? yes no
Remarks: CHARGE 20 PESOS
5 pancit available? yes no
Remarks: CHARGE 15 PESOS
6 dynamite available? yes no
Remarks: CHARGE 15 PESOS
7 nuggets available? yes no
Remarks: CHARGE 15 PESOS
8 paksiw available? yes no
Remarks: CHARGE 20 PESOS
9 kinilaw available? yes no
Remarks: CHARGE 15 PESOS
10 sashimi available? yes no
Remarks: CHARGE 15 PESOS
11 crispy buntot available? yes no
Remarks: CHARGE 20 PESOS
12 bicol express available? yes no
Remarks: CHARGE 15 PESOS
13 for rice take-outs, what container does the branch use? Pls. attach picture.

Rice wrapper

14 for rice servings, please attach picture of the measuring cup and the cup of rice served.

use of paper bags available? yes no

Remarks:
use of eco bags available? yes no
Remarks: Small Eco bag charge 5 pesos.
Medium Eco bag charge 10 pesos.

Page 5 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

TR BUILDING (CLEANLINESS & APPROPRIATENESS)

Building Perspective (please attach front view, side view and back view pictures of the store
(daytime and night time setting)
is the store signage conforms with what is TR prescribed? yes no
is the store signage well-lit? yes no
is the store signage free from very noticeable dirts and marks? yes no
is the store well lighted when viewed from the outside? yes no
are the "amakan" walls well painted and/or varnished? yes no
are steel bar wallings painted and are free from cobwebs? yes no
Remarks:

Parking Area
is parking area available for customers? yes no
is there a parking area exlusively designated for delivery riders? yes no
is there a crew assigned to guide customers in and out the parking area? yes no
Remarks:

Comfort Room
is there a garbage bin inside? yes no
is soap available? yes no
is toilet paper available? yes no
is there a bidet? yes no
is pail and dipper available? yes no
is the flooring maintained clean? yes no
Remarks:

Washing Area
is there a hand dryer? yes no
if no hand dryer, is tissue paper available? yes no
is soap for handwashing available? yes no
is water readily available? yes no
Remarks:

Function Room
is it with a glass wall? yes no
is glass board present? yes no
is there an airconditioner? yes no
is flooring maintained clean? yes no
Remarks:

Page 6 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

Dining Area
are tables and chairs used are those which are prescribed by TR? yes no
are tables and chairs free from dirt? yes no
are tissue papers, soy sauce and vinegar containers available on tables? yes no
are TR prescribed lamp baskets generally noticeable? yes no
are lamp baskets and ceiling free from dirts and cobwebs? yes no
can "amakan" be readily observed as a prominent store feature? yes no
Remarks:

Counter Area
are priority numbers given to customers in series? yes no
is the display area clean and well lit using a warm white color bulb? yes no
is alcohol and/or hand sanitizer available? yes no
is the "bugang" decorative present underneath the display area? yes no
is the "bugang" decorative lighted with warm white lighting? yes no
Remarks:

Kitchen Area
is there a need to install additional burner? yes no
if yes, cite reason:
is there a need to purchase and install additional stove? yes no
if yes, cite reason:
is there a need to purchase kitchen utensil/s? yes no
if yes, specify and cite reason:
Plate for Dynamite
Round Plate for Rice
Soup Bowl
Pots for Tinola

are freezers regularly maintained clean? yes no

is "sinamak" stored in a glass container and not in a plastic one? yes no
are spices kept in plastic containers, not on the floor? yes no
are cooking ingredients stored properly and are made always available? yes no
Remarks: No proper arrangement of spices wala man siya
sa floor but katagkatag ang pagbutang.
Dirty containers of Sinamak.
Cleaning of freezer every weekly.

Page 7 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

GENERAL CLEANING
is there a regular shedule for general cleaning? yes no
if yes, please specify regular schedule. Every end of the month.
Remarks:

SECURITY & MONITORING

CCTV
are there CCTV cameras strategically located in the store premises? yes no
are CCTVs working well? yes no
Remarks: 7 CCTV Installed.

DELIVERY SERVICES

does the branch offers delivery service? yes no

does the branch employ/designates a delivery boy? yes no
does the branch has Food Panda delivery service? yes no
if yes, please provide menu price details per food panda device.
TR Menu Price
Tinola 160
Kinilaw 160
Sisig 125
Dynamite 125
Bagaybay 125
Pancit 160
Bicol Express 160

CONSIGNMENTS
are the mark up for consignments at least 20% of the remittance price? yes no

Product Remittance (a) Mark-up (b) % b/a

Calamansi Juice 45 20 44.4
Buko Pandan 80 20 25
Mango Float 80 20 25
Tapioca 80 20 25

(Use separate sheet if necessary)

Page 8 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

BRANCH SUPPLIER DETAILS

Goods/Items Supplier Name Supplier Address Contact No.

Oyster/Paprika/Pepper YSU Macaman-an , cdo

(Use separate sheet if necessary)

BRANCH PAYABLES
are there records of accounts payable? yes no
if yes, give details:
PAYEE PARTICULAR AMOUNT

(Use separate sheet if necessary) TOTAL

TIP AND PENALTY BOX

does the branch have tip/penalty box? yes no
if yes, does the proceeds subject for equal sharing by branch employees? yes no
is the tip/penalty box proceeds offered for loan/borrowing services by the employees?
yes no
please give general idea on how tip and penalty box is being handled in the branch.

Equal Sharing and Cash Sharing

Page 9 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

BEST PRACTICES
are there new practice/s found in the branch which are worth replicating yes no
in the other branches?
if yes, cite details:
Cleanliness from the oustside view and Dining area.
Proper wearing attire of the Staff/Crew.

OTHER ISSUES & CONCERNS OBSERVED

are there issues and concerns otherwise not specified above but which yes no
you think are worth to be given due attention?
if yes, cite details:
Very messy and dirty kitchen .
No proper arrangement of Utensils and etc.

PREPARED AND SUBMITTED THIS ______ DAY OF ________ 2021 TO THE BOARD OF
DIRECTORS OF TUNAREPUBLIK, INC. FOR THEIR INFORMATION AND CONSIDERATION.

SHARLYN J. CALIBAYAN

Page 10 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

UNUSED
ORDER SLIPS OFFICIAL RECEIPTS
Stub No. Serial No. Stub No. Serial No.
94 91651-91700 208 26601-26650
95 91701-91750 209 26651-26700
96 91751-91800 210 26701-26750
97 91801-91850 211 26751-26800
98 91851-91900 212 26801-26880
99 91901-91950 213 26851-26900
100 91951-92000 214 26901-26950
19 93051-93100 215 26951-27000
20 93101-93150 216 27001-27050
21 92001-92050 217 27051-27100
22 92051-92100 218 27101-27150
23 92101-92150 219 27151-27200
24 93151-93200 220 27201-27250
25 93201-93250 221 27251-27300
26 93251-93300 222 27301-27350
27 93301-93350 223 27351-27400
28 93351-93400 224 27401-27450
29 93401-93450 225 27451-27500
30 93451-93500 226 27501-27550
31 93501-93550 227 27551-27600
32 93551-93600 228 27601-27650
33 93601-93650 229 27651-27700
34 93651-93700 230 27701-27750
35 93701-93750 231 27751-27800
36 93751-93800 232 27801-27850
37 93801-93850 233 27851-27900
38 93851-93900 234 27901-27950
235 27951-28000
236 28001-28050
237 28051-28100
238 28101-28150
239 28151-28200
240 28201-28250
241 28251-28300
242 28301-28350
243 28351-28400
244 28401-28450
245 28451-28500
246 28501-28550
247 28551-28600
248 28601-28650

Page 11 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

OFFICIAL RECEIPTS OFFICIAL RECEIPTS

Stub No. Serial No. Stub No. Serial No.
249 28651-28700 296 31001-31050
250 28701-28750 297 31051-31100
251 28751-28800 298 31101-31150
252 28801-28850 299 31151-31200
253 28851-28900 300 31201-31250
254 28901-28950
255 28951-29000
256 29001-29050
257 29051-29100
258 29101-29150
259 29151-29200
260 29201-29250
261 29251-29300
262 29301-29350
263 29351-29400
264 29401-29450
265 29451-29500
266 29501-29550
267 29551-29600
268 29601-29650
269 29651-29700
270 29701-29750
271 29751-29800
272 29801-29850
273 29851-29900
274 29901-29950
275 29951-30000
276 30001-30050
277 30051-30100
278 30101-30150
279 30151-30200
280 30201-30250
281 30251-30300
282 30301-30350
283 30351-30400
284 30401-30450
285 30451-30500
286 30501-30550
287 30551-30600
288 30601-30650
289 30651-30700
290 30701-30750
291 30751-30800
292 30801-30850
293 30851-30900
294 30901-30950
295 30951-31000

Page 12 of 13
Operations Review Checklist (Revised January 27, 2021) TR Form 3

USED OFFICIAL RECEIPT

ORDER SLIPS OFFICIAL RECEIPTS
Stub No. Serial No. Stub No. Serial No.

Page 13 of 13