BARANGAY ALMANZA UNO
Las Piñas City
Date Requested: ____________________
Name: __________________________________________________________
Address: __________________________________________________________
Item/s: __________________________________________________________
No. of Days: __________________________________________________________
Occasion: __________________________________________________________
Date: ______________________ Time: ______________________________
REMINDER: The borrower’s are held
responsible for the lost or damage of the things
Borrower’s Signature
that are being borrowed from the BARANGAY.
Approved by:
Please CLEAN the Chairs and Tables
before you return it.
KGWD. ERIC C. VILLANUEVA Thank You!!!
BARANGAY ALMANZA UNO
Las Piñas City
Date Requested: ____________________
Name: __________________________________________________________
Address: __________________________________________________________
Item/s: __________________________________________________________
No. of Days: __________________________________________________________
Occasion: __________________________________________________________
Date: ______________________ Time: ______________________________
REMINDER: The borrower’s are held
responsible for the lost or damage of the things
Borrower’s Signature
that are being borrowed from the BARANGAY.
Approved by:
Please CLEAN the Chairs and Tables
before you return it.
KGWD. ERIC C. VILLANUEVA Thank You!!!