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INSPECTION AND ACCEPTANCE REPORT

SK of Barangay: BACOLOD IAR No.:


City/Municipality: MILAGROS Date:
Province: MASBATE
Supplier: _________________________________ Invoice No.: ___________________
PO No.: ___________ Date: ___________ Date: ____________________
Requesting SK Official: _________________________

Item No. Item Description Unit Quantity

INSPECTION ACCEPTANCE

Date Inspected: ____________________ Date Received: __________________

Inspected, verified as to quantity Complete


and specifications

Partial (Pls. specify quantity received)

JANICE B. ZAFRA JUDE JEMMEL A. VENDERO


Signature over Printed Name Signature over Printed Name
Head, Inspection and Appraisal Committee SK Treasurer

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