Annex 27



ACCEPTANCE AND INSPECTION REPORT

Barangay:
Tel. No.: 		City/Municipality:
Province:
Supplier.
PO No.:
Date: 		Invoice
No.:
Date: 		AIR No.:
Date:

RIS No.:
Date:

Unit Description Quantity
















ACCEPTANCE INSPECTION

Date Inspected:

[ ] Complete

[ ] Partial (Pls. specify quantity received

____________________________
Signature over Printed Name
Barangay Treasurer


Date Inspected:

[ ] Inspected, verified as to quantity and specifications


____________________________
Signature over Printed Name
Authorized Inspector



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