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By 2028, a world class Army that is a source of national pride.

PROPERTY ACKNOWLEDGEMENT RECEIPT

PHILIPPHINE ARMY
Agency
Entity Name: 62DRC, 6ID, PA PAR No:
___________
Fund Cluster: _____________

QTY UNIT DISCRIPTION Date U/PRICE T/PRICE


Acquired
1 ea R4 A3 Carbine 5.56mm with 54,127.34
accessories
Serial Nr: DL012345
Barrel AFP012367
Nr:
1 ea Forward Grip
3 ea Hand Guard Cover
1 set Cleaning kit
1 set Sling
1 ea Manual book
xxxxxxxxxxxxxxxxxxxx-Nothing to Follow-xxxxxxxxxxxxxxxxxxxxxxxxx

APPROVED FOR ISSUE:

JUAN N DELA CRUZ


LTC (QMS) PA
AC of S, for logs G4, 6ID

BASIS: For use of 62DRC, 6ID, PA


SOURCE: 12FSSU, ASCOM, PA
AUTHORITY: Issuance directive Nr FPB (ORD) 06-80-19-99 dated 08 August 2019.
Remarks: Newly Acquired
Received By: Received Form:

1LT JEVON L CANAVO (AGS) PA MS MARILOU M JAVIER, MPA


Signature Over Printed Name Signature Over Printed Name

RSO, 62DRC, 6ID, PA Chief, 12FPAO,APPAO, PA


Position/Office Position/Office

_______________________ ______________________
Date Date

Honor, Patriotism, Duty


By 2028, a world class Army that is a source of national pride.

Honor, Patriotism, Duty

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