FMD-F-11-02.13.1.

5/F GLORIETTA 4
AYALA CENTER, MAKATI CITY
PHILIPPINES
TEL. NO.(632) 752-7977
FAX NO.(632) 752-7939
WEBSite: http://www.ayalaproperty.com.ph
E-MAIL: info@ayalaproperty.com.ph

Control No.:_

MATERIALS/EQUIPMENT GATE PASS FORM

(DELIVERY)
Bearer: DERICK ESPEJO Building: ALVEO FINANCIAL TOWER
Owner/Tenant/Contractor:_ JPCEM DESIGN & BUILD Date:_ AUGUST 27, 2022

Reason for transfer:_

To be filled out by security

QUANTITY DESCRIPTION ACTUAL COUNT REMARKS

200 BAGS WHITE SAND
300 BAGS S1 SAND
75 BAGS CEMENT
95 PCS GYPSUM BOARD FR 16MM THK
35 PCS FIBER CEMENT BOARD 12MM THK
50 PCS G.I METAL FURRING 19MM x 50MM x 5M x 0.5MM
70 PCS G.I STUDS 32MM x 76MM x 5M x 0.5MM
4 PACKS BLACK SCREW 1 ½
1 BOX BLIND RIVETS 5/32 x ½
20 PCS 1.2MM THK CARRIYING CHANNEL
100 PCS W-CLIP
20 PCS 1.2MM THK WALL ANGLE
15 PCS FULL THREADED BAR W/ NUT AND WASHER
101 PCS OCTAGON BOX
12 PCS UTILITY BOX
60 PCS CONDUIT EMT ½” Ø X 10FT
101 PCS CONNECTOR-BX STRAIGHT ½” Ø
100 PCS CONNECTOR-EMT SET-SCREW” ½” Ø
100 MTRS CONDUIT STEEL FLEXIBLE ½” Ø
100 PCS RIGID STRAP 2 HOLE ½” STEEL
20 PCS BLANK COVER 4” x 4”, 1.0MM THK
20 PCS SQUARE BOX
20 PCS CONDUIT BODY- ALUMINUM

Prepared by: Cleared/Inspected by:

Ar. Christian Paul L. Obispo

Owner/Tenant/Contractor Representative Security Guard

Verified by: Date & Time Released:

Security Officer

Approved by: Location:

Property Manager/Building Engineer

Rev.02
APMC is not liable for any damage and loss of properties caused by the transferring in or out of the items.
Copy 1 – Tenant/Owner/ Contractor representative; Copy 2 – Security; Copy 3 – Property Manager