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INSPECTION AND ACCEPTANCE REPORT

SK of Barangay: San Francisco IAR No.: 2019-03-001


City/Municipality: Quezon City Date: March 1, 2019
Province: Metro Manila
Supplier: Hidalgo Enterprises Invoice No.: 190228-002
PO No.: 2019-02-001 Date: February 4, 2019 Date: February 28, 2019
Requesting SK Official: Maria Reyes
Unit of
Item No. Item Description Quantity
Measurement
1 Folder, Standard/A-4 piece 100
2 Paper, Bond, Standard/A-4 ream 50
3 Toner, TN 3370, 6180DW Super piece 5
High Yield
4 Computer Desktop set 1

***NOTHING FOLLOWS***

INSPECTION ACCEPTANCE

Date Inspected: March 1, 2019 Date Received: March 1, 2019

 Complete
 Inspected, verified as to quantity
and specifications
Partial (Pls. specify quantity
Received)
Josby Cruz Rene Santos
______JOSBY CRUZ_______ _____RENE SANTOS_____
Signature over Printed Name Signature over Printed Name
Head, Inspection and Appraisal Committee SK Treasurer

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