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5 views

JMJ-RIS

Uploaded by

andradajhnptrck
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ACCEPTANCE & INSPECTION REPORT

City Government of San Fernando


LGU

Supplier: COSTSAVER’S SUPERMARKET, INC. AIR No.__________


PO No. PO00035564 Date: 12/10/24 Invoice No. Date:
Requisitioning Office: PDAO

Item Unit Description Quantity


no.
1 paxs Token (Mixed Fruit 2.5/Salad Macaroni 1kg/ 65
Kaong 12oz/ Kernel Corn 400g/ Cheese 160g/
Condence Milk 300ml/ All purposed cream
240ml/ Plastic with Ribon and Basket Containe

ACCEPTANCE INSPECTION

Date Received: Date Inspected:

Complete
Inspected, verified and
Partial found OK As to quantity and
specifications

Property Officer
Inspection Officer/Committee

REQUISITION AND ISSUE SLIP

City Government of San Fernando


LGU
Division __________________ Responsibility RIS No: ____________ Date
Office: PDAO Center SAI No: ___________ Date:
Code ___________

REQUISITION ISSUANCE
Stock # Unit Description Qty. Unit Cost Total

1 paxs Token (Mixed Fruit 2.5/Salad 65 464.70 30,205.50


Macaroni 1kg/ Kaong 12oz/ Kernel
Corn 400g/ Cheese 160g/
Condence Milk 300ml/ All
purposed cream 240ml/ Plastic
with Ribon and Basket Containe

30,205.50
ASSISTIVE DEVICE

Approved By: Issued by: Received, by:

Signature:
ROMEO M. TAN FERNANDO T. NAMIE F. NINA C. TAMANI
Print Name:
Designation: TABAO PULIDO
Date: OIC- PERSONS WITH Administrative Supply Officer Admin Aide III
DISABILITY AFFAIRS Officer IV III
OFFICE

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