ACCEPTANCE AND INSPECTION REPORT

Barangay: ______________________ City/Municipality: BENITO SOLIVEN

Tel No.: _______________________ Province: ISABELA
Supplier: _______________ Invoice AIR No.: ____________________RIS No.: ___________
PO No.:________________ No.:______________ Date: ______________________ Date: _____________
Date:__________________ Date: ___________
Unit Description Quantity
GALLOON WATER REFILLING 225.00
PCS ASSTD. COFFEE 496.50
PCS TISSUE & WIPES 449.75
PCS ASST. ITEMS 450.50
PCS ASSTD ITEMS 1,500.00

3,121.75
ACCEPTANCE INSPECTION

Date Inspected: Date Received:

Complete Inspected, Verified as to quantity

and specifications

Partial (Pls. specify quantity

received

_________________________ _____________________________
(Signature over Printed Name) (Signature over Printed Name)
Authorized Inspector
 ACCEPTANCE AND INSPECTION REPORT
Barangay: ______________________ City/Municipality: BENITO SOLIVEN
Tel No.: _______________________ Province: ISABELA
Supplier: _______________ Invoice AIR No.: ____________________RIS No.: ___________
PO No.:________________ No.:______________ Date: ______________________ Date: _____________
Date:__________________ Date: ___________
Unit Description Quantity
PCS. RAMBUTAN 100
PCS. CACAO 100
PCS. GUYABANO 100
PCS. CALAMANSI 100
PCS. MAHOGANY 100

ACCEPTANCE INSPECTION

Date Inspected: Date Received:

Complete Inspected, Verified as to quantity

and specifications

Partial (Pls. specify quantity

received

_____________________________ _________________________________
(Signature over Printed Name) (Signature over Printed Name)
Barangay Treasurer Authorized Inspector
 ACCEPTANCE AND INSPECTION REPORT
Barangay: ______________________ City/Municipality: BENITO SOLIVEN
Tel No.: _______________________ Province: ISABELA
Supplier: _______________ Invoice AIR No.: ____________________RIS No.: ___________
PO No.:________________ No.:______________ Date: ______________________ Date: _____________
Date:__________________ Date: ___________
Unit Description Quantity

ACCEPTANCE INSPECTION

Date Inspected: Date Received:

Complete Inspected, Verified as to quantity

and specifications

Partial (Pls. specify quantity

received

_________________________ _____________________________
(Signature over Printed Name) (Signature over Printed Name)
Barangay Treasurer Authorized Inspector
 ACCEPTANCE AND INSPECTION REPORT
Barangay: ______________________ City/Municipality: BENITO SOLIVEN
Tel No.: _______________________ Province: ISABELA
Supplier: _______________ Invoice AIR No.: ____________________RIS No.: ___________
PO No.:________________ No.:______________ Date: ______________________ Date: _____________
Date:__________________ Date: ___________
Unit Description Quantity
PCS. RAMBUTAN 100
PCS. CACAO 100
PCS. GUYABANO 100
PCS. CALAMANSI 100
PCS. MAHOGANY 100

ACCEPTANCE INSPECTION

Date Inspected: Date Received:

Complete Inspected, Verified as to quantity

and specifications

Partial (Pls. specify quantity

received

_____________________________ _________________________________
(Signature over Printed Name) (Signature over Printed Name)
Barangay Treasurer Authorized Inspector