Reference No.: BatStateU-FO-PSO-03 Effectivity Date: January 18, 2021 Revision No.

: 02

INSPECTION AND ACCEPTANCE REPORT

Entity Name: BATANGAS STATE UNIVERSITY Fund Cluster: 164

External Provider: FORMOSA COMMERCIAL IAR No.: 22-0014

PO No./Date: 2022-01-3-0007 / January 18, 2022 / 23,450.00 Date: January 21, 2022
Requisitioning Office/Dept.: Academic Affairs Invoice No.: 26044
Responsibility Center Code: STF Date: January 21, 2022

Stock /
Property No. Description Unit Quantity

1 Laminating Film @ P85.00 Pack 5

Size: A4 10 pieces per pack (LCT 125microns)
2 Laminating Machine @ P3,100.00 Unit 1
(Miyagi)power supply: 220v
with hot and cold lamination settings
warm up time: 3-5 mins
power ready and with pre-heating light
with temperature control knob and/or
temperature meter
usage: can be used for a minimum of 200
micron-sized films
can laminate ID to A3 size
Speed: minimum of 280 mm/min
Weight: 1.2 - 5.0 kg
3 Photo Paper @ P70.00 Pack 50
Glossy, A4 x 20 sheets/pack (Joy)
4 Photo Paper @ P38.00 Pack 18
4R 20pcs Glossy 230-250GSM (TM)
*** Nothing Follows ***

INSPECTION ACCEPTANCE

Date Inspected: January 21, 2022 Date Received: January 21, 2022

Inspected, verified and found in order as to quantity Complete

and specifications
Partial (Pls. specify quantity)

__________________________________ __________________________________
Dr. Lorissa Joana E. Buenas MRS. JOHANNA PAULA H. BARCELON
Vice Chancellor for Academic Affairs Head, Property and Supply Office
End User

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