CANVASS FORM

Date:
Name of Supplier:

Item Item & Description Quantity Unit Unit Price Total price
#
Lead Battery
1 GT12-12 2 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 Quantity Unit Unit Price Total price
#
UPS
1 for computer 3 pcs

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

Signed by:

Authorized Representative