Republic of the Philippines

Department of Education
REGION X
SCHOOLS DIVISION OF OROQUIETA CITY

PROPERTY ACKNOWLEDGEMENT RECEIPT

Fund Cluster : PAR No :
Property Date Total
Quantity Unit Description Unit Cost
Number Acquired Amount

xxx nothing follows xxx

Received by: Issued by:

Signature Over Printed Name of End User Signature Over Printed Name of Supply Officer

Position/Office Position/Office

Date Date
ORIGINAL COPY
 112000

Republic of the Philippines

Department of Education
REGION X
SCHOOLS DIVISION OF OROQUIETA CITY

PROPERTY ACKNOWLEDGEMENT RECEIPT

Fund Cluster : PAR No :
Property Date Total
Quantity Unit Description Unit Cost
Number Acquired Amount

xxx nothing follows xxx

Received by: Issued by:

Signature Over Printed Name of End User Signature Over Printed Name of Supply Officer

Position/Office Position/Office

Date Date
COPY 2