INSPECTION AND ACCEPTANCE REPORT

DepEd-Division of South Cotabato

DATAL BILA ELEMENTARY SCHOOL

Supplier : ___________________________________ IAR No. : _______________________

Address : ___________________________________ Invoice No : _______________________
P.O. No. : ___________________________________ Date : _______________________
Date : ___________________________________
Requesting Office/ Department :________________________________________

Item No. Unit Description Quantity Amount

TOTAL
INSPECTION: ACCEPTANCE:
Date Inspected: ___________________________________ Date Received: ___________________

Inspected, verified and found in order as to quantity and

inspection Complete

Partial (Pls. specify quantity)

RYAN L. LUCENA
PPAN/SBFP- School Nutrition Coordinator
GAMN PJ EILAN ROIE T. BANGCAYA
T-I/TIC

MUSA K. FAL
PTA Officials/Civil Society