Annex 18

ACKNOWLEDGEMENT RECEIPT FOR DONATED PROPERTY AND

EQUIPMENT/SUPPLIES AND MATERIALS

SK of Barangay: ARDPE/SM No.:

City/Municipality: Date:
Province:
Donor's Name: _______________________________________________
Authorized Representative:______________________________________
Address: ____________________________________________________

Unit of
Quantity Article Item Description Value
Measurement

Total
Purpose of Donation:
____________________________________________________________________________________
____________________________________________________________________________________

Received the donated articles for the purpose stated above.

______________________________________ __________________________
Signature over Printed Name Date
SK Chairperson/Authorized SK Official

Conforme:

______________________________________ __________________________
Signature over Printed Name Date
Donor/Authorized Representative