GATE PASS FOR DELIVERY PULL-OUT CONTROL NUMBER

TO BE ACCOMPLISHED IN 4 COPIES.
(1) Resident/Tenant Copy, (2) BMO Copy, (3) Lobby Guard, (4) Entrace / Gate Guard

TO : BUILDING MANAGEMENT OFFICE

FROM : UNIT OWNER TENANT AUTHORIZED REPRESENTATIVE CONTRACTOR

PRINTED NAME OF REQUESTOR: DAX TRAWON

DATE OF DELIVERY/PULL- UNIT FROM WHERE THE ITEMS SHALL BE BROUGHT IN

DATE OF FILING :
JULY 19, 2022 OUT JULY 20, 2022 OR PULLED OUT GROUND FLOOR

LIST OF ITEMS
# Item / Description Quantity # Item / Description Quantity

1 TILE ADHESIVE 3 BAGS 6

2 TILE GROUT 1 BAG 7

3 TILE CUTTER 1 PC. 8

4 HINGES 38 PCS. 9

5 10

(Attached separate sheet if the delivery/pull-out exceeds the space provided)

Name of person/s to bring-in or pull-out the item/s: ENRIQUE MACASINAG
Reason/s :

It is understood by all concerned that this document only represents the authorized signatory's instruction for the Building Management Office to allow release or entry

of the above stated items . Undeclared items, specifications and quantity are beyond the knowledge and responsibility of the Building Management Office.

Requested by: Approved By: Checked & Inspected by:

Engr. Stephen Paul P. Mercado

AUTHORIZED SIGNATORY BUILDING ENGINEER BUILDING MANAGER LOBBY GUARD ENTRANCE GUARD
SIGNATURE OVER PRINTED NAME

GATE PASS FOR DELIVERY PULL-OUT CONTROL NUMBER

TO BE ACCOMPLISHED IN 4 COPIES.
(1) Resident/Tenant Copy, (2) BMO Copy, (3) Lobby Guard, (4) Entrace / Gate Guard

TO : BUILDING MANAGEMENT OFFICE

FROM : UNIT OWNER TENANT AUTHORIZED REPRESENTATIVE CONTRACTOR

PRINTED NAME OF REQUESTOR: DAX TRAWON

DATE OF DELIVERY/PULL- UNIT FROM WHERE THE ITEMS SHALL BE BROUGHT IN

DATE OF FILING :
JULY 19, 2022 OUT JULY 20, 2022 OR PULLED OUT GROUND FLOOR

LIST OF ITEMS
# Item / Description Quantity # Item / Description Quantity

1 TILE ADHESIVE 3 BAGS 6

2 TILE GROUT 1 BAG 7

3 TILE CUTTER 1 PC. 8

4 HINGES 38 PCS. 9

5 10

(Attached separate sheet if the delivery/pull-out exceeds the space provided)

Name of person/s to bring-in or pull-out the item/s:
ENRIQUE MACASINAG

Reason/s :

It is understood by all concerned that this document only represents the authorized signatory's instruction for the Building Management Office to allow release or entry
of the above stated items . Undeclared items, specifications and quantity are beyond the knowledge and responsibility of the Building Management Office.

Requested by: Approved By: Checked & Inspected by:

Engr. Stephen Paul P. Mercado

AUTHORIZED SIGNATORY BUILDING ENGINEER BUILDING MANAGER LOBBY GUARD ENTRANCE GUARD
SIGNATURE OVER PRINTED NAME