GENERAL SERVICES DIVISION – GSD GENERAL SERVICES DIVISION – GSD

INSPECTION AND ACCEPTANCE REPORT FORM INSPECTION AND ACCEPTANCE REPORT FORM

Bureau/Office: Section/Division: Bureau/Office: Section/Division:

ANTI-RED TAPE AUTHORITY RFO 3 SOUTHERN LUZON ANTI-RED TAPE AUTHORITY RFO 3 SOUTHERN LUZON
Supplier: IAR No.: Supplier: IAR No.:

RESMART TRADING 2023-05-007 RESMART TRADING 2023-05-007

Invoice No.: TIN No.: Date: Invoice No.: TIN No.: Date:
925-689-404-000 925-689-404-000

STOCK NO. UOM ITEM/DESCRIPTION QTY TOTAL AMOUNT STOCK NO. UOM ITEM/DESCRIPTION QTY TOTAL AMOUNT

BOX BOND PAPER A4 (70 GSM) 2 ₱2,150.00 BOX BOND PAPER A4 (70 GSM) 2 ₱2,150.00

PC 3-TIER DOCUMENT TRAY 2 ₱900.00 PC 3-TIER DOCUMENT TRAY 2 ₱900.00

PC CLIP BOARD 3 ₱240.00 PC CLIP BOARD 3 ₱240.00

PC ENVELOPE (LONG, BROWN) 30 ₱180.00 PC ENVELOPE (LONG, BROWN) 30 ₱180.00

PC FOLDER (LONG, WHITE) 45 ₱315.00 PC FOLDER (LONG, WHITE) 45 ₱315.00

PC STAMP PAD (118 X 81 MM) 2 ₱140.00 PC STAMP PAD (118 X 81 MM) 2 ₱140.00

PC STAMP PAD INK (30 ML) 2 ₱80.00 PC STAMP PAD INK (30 ML) 2 ₱80.00

PC TORNADO MOP 1 ₱660.00 PC TORNADO MOP 1 ₱660.00

PC SOFT BROOM (LARGE) 1 ₱200.00 PC SOFT BROOM (LARGE) 1 ₱200.00

PC DUST PAN (PLASTIC, SWING LID) 1 ₱85.00 PC DUST PAN (PLASTIC, SWING LID) 1 ₱85.00

PC TRASH CAN (10 L) 1 ₱150.00 PC TRASH CAN (10 L) 1 ₱150.00

PC FLOOR MAT 3 ₱360.00 PC FLOOR MAT 3 ₱360.00

***nothing follows*** ***nothing follows***

TOTAL 1 ₱5,460.00 TOTAL 1 ₱5,460.00

INSPECTION ACCEPTANCE INSPECTION ACCEPTANCE

Date Inspected: Date Received: Date Inspected: Date Received:

x Complete x Complete
Inspected, verified and found in order as to Inspected, verified and found in order as to
x quantify and specifications x quantify and specifications
Partial (pls. specify quantity) Partial (pls. specify quantity)

ATTY. KEIRVIN ANTHONY BELTRAN-VIADO JHANA AIRA P. PENALES ATTY. KEIRVIN ANTHONY BELTRAN-VIADO JHANA AIRA P. PENALES

Legal Assistant III, Investigation and Enforcement Project Development Officer I, Southern Luzon Legal Assistant III, Investigation and Enforcement Project Development Officer I, Southern Luzon
Division RFO Division RFO
Inspection Officer/Inspection Committee End-User Inspection Officer/Inspection Committee End-User