RECEIPT OF RETUNED PROPERTY AND EQUIPMENT/

SUPPLIES AND MATERIALS

SK of Barangay:
RRPE/SM No.:
City/Municipality:
Province: Date:
This is to acknowledge the receipt of the property and equipment/supplies and materials, as follows:

Item Description Qty. PAR/ICS No. End-User Remarks

Returned by: Received by:

(Signature over Printed Name) (Signature over Printed Name)

(Position/Designation) (Position/Designation)

Date Date