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GENERAL FORM NO.

11
Revised January 1992

REPUBLIC OF THE PHILIPPINES


INVOICE - RECEIPT FOR PROPERTY

NAME AND DATE OF PROPERTY CLASSIFICATION UNIT TOTAL


QTY UNIT DESCRIPTION PURCHASE NUMBER NUMBER VALUE VALUE

17 pcs Plastic Drums xxxxxxxxxxxxxxxxxxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxx xxxxxxxxxxx

Purpose: Livelihood Assistance Program


NLP-2021

Source:

TOTAL

Received by:

DR. TEOFILO MENDOZA


Provincial Veterinarian

INVOICE RECIEPT

I CERTIFY that I have this ____ day of _______2021 invoiced I CERTIFY that I have this ____ day of ______2021 invoiced
to DR. TEOFILO MENDOZA , Provincial Veterinarian, Province of from ANGEL C. ENRIQUEZ, CESO III , Regional Executive
Leyte listed stock, property of the Department of Agriculture Regional Director, DA-RFO VIII the above listed stock, property of the
Field Office 08, Kanhuraw Hill, Tacloban City. Department of Agriculture Regional Field Office 08,
Kanhuraw Hill, Tacloban City.

ANGEL C. ENRIQUEZ, CESO III DR. TEOFILO MENDOZA


Regional Executive Director Provincial Veterinarian
DA - RFO VIII Province of Leyte
GENERAL FORM NO. 11
Revised January 1992

REPUBLIC OF THE PHILIPPINES


INVOICE - RECEIPT FOR PROPERTY

NAME AND DATE OF PROPERTY CLASSIFICATION UNIT TOTAL


QTY UNIT DESCRIPTION PURCHASE NUMBER NUMBER VALUE VALUE

1 head carabao
xxxxxx xxxxxx xxxxx xxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxx xxxxxxxxxxx

Purpose : For production

Source:

TOTAL 54,800.00

Received by:

ROMEO DAGATAN
Recipient

INVOICE RECIEPT

I CERTIFY that I have this ____ day of _______2018 invoiced I CERTIFY that I have this ______ day of ______2018 invoiced
to MS ELENE SEDDIQUI, City Agriculturist, Baybay City listed stock, from ATTY. CIPRIANO G. SANTIAGO, CESO III, Regional
property of the Department of Agriculture Regional Field Office Executive Director, DA-RFO VIII the above listed stock, property
08, Kanhuraw Hill, Tacloban City. of the Department of Agriculture Regional Field Office 08,
Kanhuraw Hill, Tacloban City.

ATTY. CIPRIANO G. SANTIAGO, CESO III MS ELENE SEDDIQUI


Regional Executive Director City Agriculturist
DA - RFO VIII Baybay City
GENERAL FORM NO. 11
Revised January 1992

REPUBLIC OF THE PHILIPPINES


INVOICE - RECEIPT FOR PROPERTY

NAME AND DATE OF PROPERTY CLASSIFICATION UNIT TOTAL


QTY UNIT
DESCRIPTION PURCHASE NUMBER NUMBER VALUE VALUE
3 heads Piglets 9,988.00 29,964.00
xxxxxx xxxxxx xxxxx xxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxx xxxxxxxxxxx

Purpose : Sentenelling

Source: NLP 2023

TOTAL 29,964.00

Received by:

JERIC SABULAO
Recipient

INVOICE RECIEPT

I CERTIFY that I have this ____ day of _______2023 I CERTIFY that I have this ______ day of ______2023 invoiced
invoiced to MA. DOLORES M. MALINAO , from ANDREW RODOLFO T. ORAIS ,DVM , Regional Executive Director,
Municipal Agriculturist/ City Vet of Daram, Samar DA-RFO VIII the above listed stock, property of the Department of
, listed stock, property of the Department of Agriculture Agriculture Regional Field Office 08, Kanhuraw Hill, Tacloban City.
Regional Field Office 08, Kanhuraw Hill, Tacloban City.

ANDREW RODOLFO T. ORAIS ,DVM MA. DOLORES M. MALINAO


Regional Executive Director Municipal Agriculturist
DA - RFO VIII Daram, Samar

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