EQUIPMENT AND TOOLS DELIVERY FORM

WORK/SERVICE:
WAREHOUSE MANAGER: LOCATION:

I, ....................................................................................., declare to have received the Equipment and Tools, which I commit myself to take care of
them and use them correctly according to the activities assigned to me, also to return them when I have to leave the service for any reason, and with
my signature I take responsibility for the loss of equipment or tools under my charge.

NUMBER AND/OR
DATE DESCRIPTION QUANTITY SIGNATURE RETURN DATE SIGNATURE
SERIES

Last Name, First Name and Signature of Storekeeper:

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