Annex 16

INSPECTION AND ACCEPTANCE REPORT

SK of Barangay: IAR No.:
City/Municipality: Date:
Province:
Supplier: ___________________________________________ Invoice No.: ___________
PO No.: ___________________ Date: ___________________ Date: _________________
Requesting SK Official: _______________________________
Unit of
Item No. Item Description Quantity
Measurement

INSPECTION ACCEPTANCE

Date Inspected: _____________________ Date Received:___________________

Inspected, verified as to quantity Complete

and specifications

Partial (Pls. specify quantity

Received)

________________________________ ____________________________
Signature over Printed Name Signature over Printed Name
Head, Inspection and Appraisal Committee SK Treasurer