VICTOR BERNAL HIGH SCHOOL

INSPECTION AND ACCEPTANCE REPORT

Entity Name : Fund Cluster : ___________

Supplier : LUCKY ROADSIDE GASOLINE STATION IAR No. : 1

PO No./Date : Date : June 15, 2020
Requisitioning Office/Dept. : SUPPLY & PROPERTY SECTION Invoice No. : 066333
Responsibility Center Code : ________________________________ Date : June 15, 2020

Stock/
Description Unit Quantity
Property No.
1 unleaded xtra gasoline liter 12

INSPECTION ACCEPTANCE
Date Inspected : June 15, 2020 Date Received : June 15, 2020

Inspected, verified and found in order as to Complete

quantity and specifications

Partial (pls. specify quantity)

JOANNA ROSE R. RULL_ DHOREEN A. RAMOS

Inspection Officer/Inspection Committee Supply and/or Property Custodian

155