GOODS & SERVICES VERIFICATION REPORT

Vendor Name Work Order m (if known) Received by

Name Date
CHAISA INFORMATICA LDA
GILDO LIMA 06/11/2023

Delivered by Purchase Order m (if known)

Signature

Building Invoice m (if known)

Confirmed by (if received by FM)
NAPIPINE Name Date
Jeremias Heigar Como
Description of Goods or Services

 Fornecimento de 8000LTR de água NOVEMBRO de

Signature
2023.

Specifications Verified by
Name Date

Exceptions

Signature

 SECRETARIO DA ALA DE NAPIPINE

Verbally Reported to
Name Date

Comments

Signature