INSPECTION AND ACCEPTANCE REPORT

Barangay: SAN VICENTE Municipality: CALABANGA

Tel. No.: Province:
Supplier: Invoice No. IAR No. Date:
TIN No.: Invoice No. RIS No. Date:
UNIT DESCRIPTION QUANTITY AMOUNT

INSPECTION ACCEPTANCE

Date Inspected:__________________ Date Inspected: _______________

Inspected, verified and found OK Complete

as to quantity and specifications
Partial (Pls. Specify Quantity received)

Authorized Inspector Barangay Treasurer