Republic of the Philippines

DEPARTMENT OF EDUCATION
Region I

Division of Pangasinan II
MANGALDAN NATIONAL HIGH SCHOOL

ACKNOWLEDGEMENT RECEIPT for EQUIPMENT

(Electrical Servicing)

QUANTITY UNIT DESCRIPTION

1 pc Pipe Wrench 2”
1 pc Pipe Vise
1 pc Pipe Cutter
2 pc EMT Bender ½ and ¾
1 pc RSC Bender ½
2 pc PVC Pipe Cutter

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

QUANTITY UNIT DESCRIPTION

1 pc Lever Type Bender ½
1 pc Lever Type Bender ¼

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