INSPECTION AND ACCEPTANCE REPORT

Entity Name: DepEd, Schools Division of Zambales

LOCLOC ELEMENTARY SCHOOL Fund Cluster:_001

Supplier: KEVIN ERMITA IAR No : 2022-11-003

PR No/RFQ NO./Date: __Contract of Service________ Date: November 23, 2022________
Requisitioning Office/Dept. __________________________________
Responsibility Center Code:___________________________________

Item No. Description Quantity

Billing for the works under the project Roofing of Hand washing Station ,
Phase 1 and Phase 2 at San Lorenzo Elementary School, San Lorenzo,
Masinloc, Zambales
As of November 22, 2022, the project is 100% satisfactorily completed in
accordance with the scope of work and specifications, and that payment
equivalent to Eight Thousand Pesos (P 8,000.00), representing 100%
accomplishment is recommended, subject to existing accounting and
auditing rules and regulations.

INSPECTION ACCEPTANCE

Date Inspected: ____11/23/2022____________ Date Received: __11/23/2022______

/ Inspected, verified and found in / Complete

order as to quantity and specification
Partial(pls. specify quantity)

LIRICO E. EBBA RONALYN S. EBALO

Inspection Officer/Inspection Committee Supply and/or Property Custodian