Appendix 62

INSPECTION AND ACCEPTANCE REPORT

Entity Name : PROCUREMENT SERVICE Fund Cluster : 01

DEPOT XI
Orchid St., Juna Subdivision, Matina, Davao City

Supplier : PROCUREMENT SERVICE XI IAR No. : 2022-01-01

PO No./Date : Date : January 13, 2022
Requisitioning Office/Dept. : Depot Operations Division Invoice No. :
Responsibility Center Code : _________________ Date :
Stock/
Description Unit Quantity
Property No.

PURIFIED DRINKING WATER lot 1

for use of PS DEPOT XI personnel & clients
Jan 1 to December 31, 2022
- Free use of Two(2) units Hot & Cold Dispenser
-Free use of empty containers
- Free cleaning & maintenance
- Free Delivery

INSPECTION ACCEPTANCE

Date Inspected : January 13, 2022 Date Received : January 13, 2022

Inspected, verified and found in order as to Complete

quantity and specifications
Partial (pls. specify quantity)

JINX AUBREY S. ARRANGUEZ MICHAEL JAY B. PORMENTO

Inspection Officer Acceptance Officer