Professional Documents
Culture Documents
Official Receipt
Official Receipt
OFFICIAL RECEIPT
Received from
(Name of Owner)
Owner of
(Name of Establishment /Ambulant Vendor)
On the following food stuffs /products /utensils.
Date
For laboratory analysis in bureau of Food & Drugs Lab. / DOH Accredited Laboratory or
for condemnation /banning from sale as per P.D. 856.
Time of collection:
Sanitary Inspector
Acknowledge by
Witnessed by: