CANVASS FORM

Date:
Name of Supplier:

Item # Item & Description Qty. Unit Unit Price

Direct Wire Led Fluorescent tube

1 ( 28-36 W) DL 15 pcs
2 Energy Saver Bulb (9 watts) WW 30 pcs
3 Recessed Type Led light (3 watts) WW 10 pcs
4 Electrical Tape 5 pcs.

I hereby certify that the above price(s) are true and correct.

Signed by:

Authorized Representative
 CANVASS FORM
Date:
Name of Supplier:

Item Item & Description Qty. Unit Unit Price Total Price
#
Mariwasa Tiles ( 60 x 60 x
1 10) Brown 15 Pcs.

I hereby certify that the above price(s) are true and correct.

Signed by:

Authorized Representative