Company: HOLISTER INC.

GATEPASS FORM AF 100 V.2 5/5/15

Tenant/Contractor: C/O JESUS LATASA Note: Incomplete signature will make this form
invalid. Fill out applicable fields only.

Requested by: Date Requested: 4/18/2017

Name & Signature Aquillo Jesus Latasa
Approved by: Approved Date & Time:
Name & Signature Kim Dennis Go
Please allow the following st ENTER EXIT the Operations Premises
QTY. UNIT ITEM/DESCRIPTION MODEL NO. REMARKS
1 set Lenovo Laptop, Ideapad U410 Used
with charger & laptop bag

Purpose:
For donation to Tacloban City Hall
Brought by/ Time/Date Out:
Pulled out by: Aquillo Jesus Latasa 4/18/2017 10:40
Authorized/
Released Time/Date Returned:
Honeychile Go N/A
by:

Company: KIT PROPERTIES INC.

GATEPASS FORM AF 100 V.2 5/5/15

Tenant/Contractor: Note: Incomplete signature will make this form

invalid. Fill out applicable fields only.

Requested by: Date Requested:

Name & Signature

Approved by: Approved Date & Time:

Name & Signature

Please allow the following st ENTER EXIT the Operations Premises

QTY. UNIT ITEM/DESCRIPTION MODEL NO. REMARKS

Purpose:

Brought by/ Time/Date Out:

Pulled out by:
Authorized/
Released Time/Date Returned:
by:
PFO63SEV
Company: HOLISTER INC.
GATEPASS FORM AF 100 V.2 5/5/15

Tenant/Contractor: Note: Incomplete signature will make this form

invalid. Fill out applicable fields only.

Requested by: Cristina Angelina Isidoro Date Requested:

Name & Signature

Approved by: Honeychile Go Approved Date & Time:

Name & Signature

Please allow the following st ENTER EXIT the Operations Premises

QTY. UNIT ITEM/DESCRIPTION MODEL NO. REMARKS
102 ea Assorted Plates (small & dinner plates) NA damaged
1 unit Spoon and Fork Heater NA damaged
1 unit Juicer NA damaged
2 pcs Bucket Jar NA damaged
4 pcs Plastic Cup NA damaged
3 pcs Measuring spoon NA not complete set
4 pcs Shot glass NA damaged
6 pcs Chopping board NA so dirty
1 pc Pitcher for water NA damaged
4 pcs Cover pots NA damaged

Purpose: For Donation

Brought by/ Nestor Pono/ Candido Cabalse Time/Date Out:

Pulled out by:
Authorized/
Released Cristina Angelina Isidoro Time/Date Returned:
by:

Company: Holister Inc.

GATEPASS FORM AF 100 V.2 5/5/15

Tenant/Contractor: Note: Incomplete signature will make this form

invalid. Fill out applicable fields only.

Requested by: Cristina Angelina Isidoro Date Requested:

Name & Signature

Approved by: Honeychile Go Approved Date & Time:

Name & Signature

Please allow the following st ENTER EXIT the Operations Premises

QTY. UNIT ITEM/DESCRIPTION MODEL NO. REMARKS
8 pcs Dessert Plate (big) NA useable
165 pcs Assorted small plates NA useable
6 pcs Small cups NA useable
3 pcs Soup bowl NA useable
2 pcs Jar for Blinder NA useable
1 pc Jar for Juice NA useable

Purpose: For Holister PAGCOR Parkmall

Brought by/ Nestor Pono/ Candido Cabalse Time/Date Out:

Pulled out by:
Authorized/
Released Cristina Angelina Isidoro Time/Date Returned:
by:
PFO63SEV