Republic of the Philippines

Department of Science and Technology

PHILIPPINE NUCLEAR RESEARCH INSTITUTE
Diliman, Quezon City
October 30, 2015
Date
TO WHOM IT MAY CONCERN:
This is to certify that Ms. GRACE M. CARLOS of PLANNING SECTION whose
name and signature appears below is authorized to carry the following personal
equipment/supplies out of the compound of the PHILIPPINE NUCLEAR RESEARCH
INSTITUTE, Diliman, Quezon City.
ARTICLE

QTY

SERIAL NUMBER

Collapsible computer
table; Rubbermaid;
color beige/off-white;
collapsed into 9 parts

TOTAL

N/A

PNRI PROPERTY NO.

N/A

PURPOSE:
To bring home after years of use in this Office

Acknowledge receipt of the above-named equipment/supplies.

GRACE M. CARLOS
Printed Name & Signature of person authorized
to have custody and bring the aforementioned
equipment/supplies out of the PNRI Compound
APPROVED:

MA. CELERINA M. RAMIRO

Section Head Concerned

NOTED:

LUZVIMINDA B. MUYCO
Property and Procurement Section Head
Releasing Officer