Republic of the Philippines

Department of Education
(REPLACE WITH SCHOOL LETTERHEAD)

CERTIFICATION

This is to certify that _____(name of school_______, Schools Division of

___________, Regional Office No. ________, with School ID No: __________, received
the following goods/items delivered by the third-party logistics service provider,
Transpac Cargo Logistics, Inc. (Transpac) on ____(date of delivery)_____, with
Delivery Receipt No. __________, under the following contract/s:

Contract No.: 2020c-ICTS3(001&005)-B11-CB-018-C188

Project Title: Supply, Delivery and Maintenance of DCP Packages
Supplier Columbia Technologies, Inc.
(of goods):

Item Description Unit Quantity Remarks

Laptop pcs
External Hard Drive pcs

This certifies further that the herein indicated goods/items were inspected
as to technical specifications, physical form, condition and quantity on __(date of
inspection)___, thus, were recommended and physically accepted on ___(date of
acceptance)___.

Issued this _____ day of ______ 2023.

(Signature over Printed Name)

School Head