Republic of the Philippines

Department of Education
DIVISION OF SOUTHERN LEYTE
R. Kangleon St., Mantahan,Maasin City

SL DO Form No. 20
INSPECTION AND ACCEPTANCE REPORT

Supplier: RESTIE GENERAL MERCHANDISE IAR #: 2022-007-0

P.O. No.: 2022-007-0 Date: 8/22/22 Invoice No.: Date: 8/22/22

Requisitioning Office/Dept.: BIASONG MG ELEMENTARY SCHOOL

School ID: 122067

Stock No. Unit Description Quantity

1 BOT HP GT52XL CYAN 1

2

INSPECTION ACCEPTANCE

Date Inspected: 8/22/22 Date Received: 8/22/22

Inspected, verified and found in order Complete

as to quantity and specifications Partial (pls. specify quantity

CORAZON G. PAMUGAS FLORDELIZA L. LAGUMBAY

Inspection Officer/Committee Property Officer