ACCEPTANCE & INSPECTION REPORT

LGU, LABRADOR LABRADOR, PANGASINAN

Supplier: ZFC GEN. MERCHANDISING AIR No.: _________________ PO No.: ______________ Date: ___________ Invoice No.: ____________________ Date: __________________ Requisitioning Office/Department: Sangguniang Bayan Office________ Item No. 1 2 3 Unit bxs bxs bxs Description Toner Cartridge (Brother 240) Toner Cartridge (Fuji Docuprint) Computer ink HP #21 black Quantity 4 1 3

ACCEPTANCE
Date Received: _______________ Complete Partial RENATO P. SAMSON ______SB Secretary_____ Property Officer

INSPECTION
Date Inspected: _____________________ Inspected, verified and found ok as to quality and specifications. ______________________ Mayors Office __________________ _ _____________________ MTO Acctg. Office

INSPECTION OFFICE/COMMITEE

ACCEPTANCE & INSPECTION REPORT

LGU, LABRADOR LABRADOR, PANGASINAN
Supplier: ZFC GEN. MERCHANDISING AIR No.: _________________ PO No.: ______________ Date: ___________ Invoice No.: ____________________ Date: __________________ Requisitioning Office/Department: Sangguniang Bayan Office________ Item No. 1 2 3 4 5 6 7 8 9 Unit bxs rms rms rms pcs pcs pc mtrs pc Description Business envelope w/ letterhead Stationary w/ letterhead long Bookpaper short subs 20 Bookpaper long subs 20 Female plug Extension wire 10m Spliter Cable wire HD RCA plug connector Quantity 2 20 20 20 2 2 1 15 1

ACCEPTANCE
Date Received: _______________ Complete Partial RENATO P. SAMSON ______SB Secretary_____ Property Officer

INSPECTION
Date Inspected: _____________________ Inspected, verified and found ok as to quality and specifications. ______________________ Mayors Office __________________ _ _____________________ MTO Acctg. Office

INSPECTION OFFICE/COMMITEE

ACCEPTANCE & INSPECTION REPORT

LGU, LABRADOR LABRADOR, PANGASINAN
Supplier: ZFC GEN. MERCHANDISING AIR No.: _________________ PO No.: ______________ Date: ___________ Invoice No.: ____________________ Date: __________________ Requisitioning Office/Department: Sangguniang Bayan Office________ Item No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Unit pcs pcs pcs pcs pcs pcs pcs bots pcs bots bots bots pcs pcs pack packs Description Plastic plate Plate Bowl big Bowl small Stainless mug Drinking glass Ashtray glass Dishwashing liquid Bath soap big Glass cleaner Muriatic Acid 2L Zonrox 1L Albatross w/ hanger Powder soap 70g Trash bag big Trash bag medium Quantity 6 24 6 6 6 24 3 5 5 5 5 5 5 24 1 5

ACCEPTANCE
Date Received: _______________ Complete Partial RENATO P. SAMSON ______SB Secretary_____ Property Officer

INSPECTION
Date Inspected: _____________________ Inspected, verified and found ok as to quality and specifications. ______________________ Mayors Office __________________ _ _____________________ MTO Acctg. Office

INSPECTION OFFICE/COMMITEE

ACCEPTANCE & INSPECTION REPORT

LGU, LABRADOR LABRADOR, PANGASINAN
Supplier: ZFC GEN. MERCHANDISING AIR No.: _________________ PO No.: ______________ Date: ___________ Invoice No.: ____________________ Date: __________________ Requisitioning Office/Department: Sangguniang Bayan Office________ Item No. 1 2 Unit pcs box Description Computer ink HP #22 Sharp Toner AR 168FT Quantity 3 1

ACCEPTANCE
Date Received: _______________ Complete Partial RENATO P. SAMSON ______SB Secretary_____ Property Officer

INSPECTION
Date Inspected: _____________________ Inspected, verified and found ok as to quality and specifications. ______________________ Mayors Office __________________ _ _____________________ MTO Acctg. Office

INSPECTION OFFICE/COMMITEE

ACCEPTANCE & INSPECTION REPORT

LGU, LABRADOR LABRADOR, PANGASINAN
Supplier: ZFC GEN. MERCHANDISING AIR No.: _________________ PO No.: ______________ Date: ___________ Invoice No.: ____________________ Date: __________________ Requisitioning Office/Department: Sangguniang Bayan Office________ Item No. 1 Unit pcs Description Tire 185 R14 Quantity 2

ACCEPTANCE
Date Received: _______________ Complete Partial RENATO P. SAMSON ______SB Secretary_____ Property Officer

INSPECTION
Date Inspected: _____________________ Inspected, verified and found ok as to quality and specifications. ______________________ Mayors Office __________________ _ _____________________ MTO Acctg. Office

INSPECTION OFFICE/COMMITEE