Republic of the Philippines

DEPARTMENT OF EDUCATION
Region I

Division of Pangasinan II
MANGALDAN NATIONAL HIGH SCHOOL

ACKNOWLEDGEMENT RECEIPT for EQUIPMENT

(Electrical Installation and Maintenance)

QUANTITY UNIT DESCRIPTION

3 pc Ballpeen Hammer
3 pc Bolt Cutter
1 set CCTV with Monitor
1 pc Clamp Ammeter, Digital
3 Pc Claw Hammer 16oz
3 pc Combination Wrench (English)
3 pc Combination Wrench (Metric)
3 pc Electrical Cable Stripping Knife
3 pc Electricians/Tools/Holster/Pouch
3 pc Electrician Pliers
3 pc Flat File, Smooth 8”
1 pc Fire Alarm
1 pc Fire Extinguisher
3 pc Hack Saw
25 pc Hard Hat
3 pc Heat Gun
1 pc Industrial Fan
1 pc Jack Hammer

Received by: Received from:

_______________________ HAROLD L. DE VERA

Signature Over Printed Name Signature Over Printed Name

______________________ Admin. Officer I (Supply Officer)

Position Position
______________________ _________________________
Date Date
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I

Division of Pangasinan II
MANGALDAN NATIONAL HIGH SCHOOL

ACKNOWLEDGEMENT RECEIPT for EQUIPMENT

(Electrical Installation and Maintenance)

QUANTITY UNIT DESCRIPTION

3 pc Long Nose Pliers

1 Pc Mega – Ohmmeter, Digital
1 pc Multi- Tester, Analog
3 pc Pipe Threader
3 Pc Plump Bob
1 pc Portable Electric Drill
1 pc Portable Electric Grinder
3 pc Prick Punch Set
25 pc Safety Goggles
25 pc Safety Shoes
2 pc Screw Driver Flat (insulated)
3 pc Screw Driver Philip (insulated)
3 pc Side Cutting Pliers
3 pc Spirit Level
3 pc Steel Tape Measure
3 pc Wire Stripper
25 pc Working Gloves

Received by: Received from:

_______________________ HAROLD L. DE VERA

Signature Over Printed Name Signature Over Printed Name

______________________ Admin. Officer I (Supply Officer)

Position Position
______________________ _________________________
Date Date