Appendix 62

INSPECTION AND ACCEPTANCE REPORT

Entity Name : Bureau of Fire Protection-R7 Fund Cluster : 101

Office : _San Miguel Fire Station____________

Supplier : DE 5 R'S SARI SARI STORE IAR No. :

PO No./Date : 10/20/2023 Date : 10/20/2023
Requisitioning Office/Dept. : San Miguel Fire Station Invoice No. :
Responsibility Center Code : _______________________________ Date : 9/13/2023

Stock/
Description Unit Quantity
Property No.

1 White Long Folder pcs 36

2 Epson Ink Black 664 bot 4

3 Epson Ink Magenta 664 bot 2

4 Epson Ink Yellow 664 bot 2

5 Epson Ink Cyan 664 bot 2

6 Bondpaper Long reams 6

7 Bondpaper A4 reams 5

INSPECTION ACCEPTANCE

Date Inspected : 10/20/2023 Date Inspected :10/20/2023

Inspected, verified and found in order as to Complete

quantity and specifications

FO2 Filjane J Casatañares FO2 Ruel B Juit Jr.

Inspection Officer/Inspection Committee Supply and/or Property Custodian

155