ACCEPTANCE & INSPECTION REPORT

MUNICIPALITY OF CARLES
LGU
P.O/P.R. No. ______________
PO No. ________ Date: _________ Invoice No. ________ Date: __________

Requesting Office/Department : Mayor’s Office

Item Unit Description Quantity

No.

1 Roll TW #12 1
2 Gal. Metal Primer 4
3 Qrt. Paint Thinner 1

Date Received: Date Inspected:

Inspected, verified and found OK

Complete as to quantity and
specifications

Partial

SIEGFREDO A. BETITA ROMEL R. CANDELARIO

Municipal Mayor GSO
 ACCEPTANCE & INSPECTION REPORT

MUNICIPALITY OF CARLES
LGU
P.O/P.R. No. ______________
PO No. ________ Date: _________ Invoice No. ________ Date: __________

Requesting Office/Department : Mayor’s Office

Item Unit Description Quantity

No.

1 Gal. Delo Gold 1

2 Pc. Oil Filter 306 1
3 Kls. GI Wire #16 4
4 Kls. Nylon #250 2
5 Kl. Nylon #180 1
6
7
8
9
10
11
12

Date Received: Date Inspected:

Inspected, verified and found OK as

Complete to quantity and specifications

Partial

SIEGFREDO A. BETITA ROMEL R. CANDELARIO

Municipal Mayor GSO
 ACCEPTANCE & INSPECTION REPORT

MUNICIPALITY OF CARLES
LGU
P.O/P.R. No. ______________
PO No. ________ Date: _________ Invoice No. ________ Date: __________

Requesting Office/Department : Mayor’s Office

Item Unit Description Quantity

No.

1 Pcs. Fan Belt 2

2 Lt. Delo Gold 1
3 Qrt. Honda 4T 1
4 Qrt. ATF Oil 1
5 Qrt. Delo Gold 2
6 Pc. Fan Belt B-48 1
7 Qrt. Rev-X 1
8 Pc. Fan Belt B-45 1
9 Kl. Nylon #200 1
10
11
12

Date Received: Date Inspected:

Inspected, verified and found OK as

Complete to quantity and specifications

Partial

SIEGFREDO A. BETITA ROMEL R. CANDELARIO

Municipal Mayor GSO
 ACCEPTANCE & INSPECTION REPORT

MUNICIPALITY OF CARLES
LGU
P.O/P.R. No. ______________
PO No. ________ Date: _________ Invoice No. ________ Date: __________

Requesting Office/Department : Mayor’s Office

Item Unit Description Quantity

No.

1 Pcs. Eye Terminal 4

2 Ltrs. Honda 4T 1
3 Mtrs. Chemical Hose 3/8 4
4 Pc. Fanbelt B-69 1
5 Qrt. Delo Gold 1
6 Pc. Fanbelt B-33 1
7 Mtrs. Battery Cable 4
8 Pc. Safety Breaker 1
9 Lit. Delo Gold 2
10 Pc. Mighty Gasket 85g 1
11 Pc. Ball Value ¾ 1
12 Pc. PVC Elbow #2 1

Date Received: Date Inspected:

Inspected, verified and found OK as

Complete to quantity and specifications

Partial

SIEGFREDO A. BETITA ROMEL R. CANDELARIO

Municipal Mayor GSO
 ACCEPTANCE & INSPECTION REPORT

MUNICIPALITY OF CARLES
LGU
P.O/P.R. No. ______________
PO No. ________ Date: _________ Invoice No. ________ Date: __________

Requesting Office/Department : Mayor’s Office

Item Unit Description Quantity

No.

1 Kl. Rod J38-12 1

2 Pcs. C – Purlins 2x4 2
3 Pcs. Texscrew 65mm 200
4 Pcs. Cutter blade 3
5 Pcs. O’ ring set 2
6 Pc. Sand Paper 60 1
7 Pck. Fedseal 4
8 Gal. Triton Metal Primer Red 2
9 Pcs. Sand Paper 80 8
10 Lit. Triton White 4
11 Pcs. S/S Bolt ½ x 4 4
12 Pcs. S/S Nut ½ 4
13 Gal. Paint Thinner 1
14 Gal. Paint Thinner 1

Date Received: Date Inspected:

Inspected, verified and found OK as

Complete to quantity and specifications

Partial

SIEGFREDO A. BETITA ROMEL R. CANDELARIO

Municipal Mayor GSO
 ACCEPTANCE & INSPECTION REPORT

MUNICIPALITY OF CARLES
LGU
P.O/P.R. No. ______________
PO No. ________ Date: _________ Invoice No. ________ Date: __________

Requesting Office/Department : Mayor’s Office

Item Unit Description Quantity

No.

1 Pc. Electrode Holder 1

2 Kls. Ord. W Rod 6
3 Kls. Rod 6013 6
4 Kls. Rod 6013 10
5 Kls. Rod J38-12 3/32 2

Date Received: Date Inspected:

Inspected, verified and found OK as

Complete to quantity and specifications

Partial

SIEGFREDO A. BETITA ROMEL R. CANDELARIO

Municipal Mayor GSO
 ACCEPTANCE & INSPECTION REPORT

MUNICIPALITY OF CARLES
LGU
P.O/P.R. No. ______________
PO No. ________ Date: _________ Invoice No. ________ Date: __________

Requesting Office/Department : Mayor’s Office

Item Unit Description Quantity

No.
1 Lt. Diesel 60.54
2 Lt. Diesel 24.84
3 Lt. Diesel 33.11

Date Received: Date Inspected:

Inspected, verified and found OK as

Complete to quantity and specifications

Partial

SIEGFREDO A. BETITA ROMEL R. CANDELARIO

Municipal Mayor GSO
 ACCEPTANCE & INSPECTION REPORT

MUNICIPALITY OF CARLES
LGU
P.O/P.R. No. ______________
PO No. ________ Date: _________ Invoice No. ________ Date: __________

Requesting Office/Department : Mayor’s Office

Item Unit Description Quantity

No.
1 Lt. Diesel 53.80
2 Lt. Diesel 56.93
3 Lt. Diesel 41.75

Date Received: Date Inspected:

Inspected, verified and found OK as

Complete to quantity and specifications

Partial

SIEGFREDO A. BETITA ROMEL R. CANDELARIO

Municipal Mayor GSO
 ACCEPTANCE & INSPECTION REPORT

MUNICIPALITY OF CARLES
LGU
P.O/P.R. No. ______________
PO No. ________ Date: _________ Invoice No. ________ Date: __________

Requesting Office/Department : Mayor’s Office

Item Unit Description Quantity

No.
1 Lt. Diesel 35.03
2 Lt. Diesel 20.00
3 Lt. Diesel 20.00
4 Lt. Diesel 35.50

Date Received: Date Inspected:

Inspected, verified and found OK as

Complete to quantity and specifications

Partial

SIEGFREDO A. BETITA ROMEL R. CANDELARIO

Municipal Mayor GSO
 ACCEPTANCE & INSPECTION REPORT

MUNICIPALITY OF CARLES
LGU
P.O/P.R. No. ______________
PO No. ________ Date: _________ Invoice No. ________ Date: __________

Requesting Office/Department : Mayor’s Office

Item Unit Description Quantity

No.
1 Lt. Diesel 15.74
2 Lt. Diesel 25.20
3 Lt. Diesel 53.05
4 Lt. Diesel 60.00

Date Received: Date Inspected:

Inspected, verified and found OK as

Complete to quantity and specifications

Partial

SIEGFREDO A. BETITA ROMEL R. CANDELARIO

Municipal Mayor GSO
 ACCEPTANCE & INSPECTION REPORT

MUNICIPALITY OF CARLES
LGU
P.O/P.R. No. ______________
PO No. ________ Date: _________ Invoice No. ________ Date: __________

Requesting Office/Department : Mayor’s Office

Item Unit Description Quantity

No.
1 Lt. Diesel 15.74
2 Lt. Diesel 25.20
3 Lt. Diesel 53.05
4 Lt. Diesel 60.00

Date Received: Date Inspected:

Inspected, verified and found OK as

Complete to quantity and specifications

Partial

SIEGFREDO A. BETITA ROMEL R. CANDELARIO

Municipal Mayor GSO
 ACCEPTANCE & INSPECTION REPORT

MUNICIPALITY OF CARLES
LGU
P.O/P.R. No. ______________
PO No. ________ Date: _________ Invoice No. ________ Date: __________

Requesting Office/Department : Mayor’s Office

Item Unit Description Quantity

No.
February 28, 2017
Lunch

Serve Rice 150

Bottle Water 150
Bottle Softdrink 150
Serve Fried Chicken 150
Serve Pork Sinigang 150
Serve Beef Steak 150

Date Received: Date Inspected:

Inspected, verified and found OK as

Complete to quantity and specifications

Partial

SIEGFREDO A. BETITA ROMEL R. CANDELARIO

Municipal Mayor GSO
 ACCEPTANCE & INSPECTION REPORT

MUNICIPALITY OF CARLES
LGU
P.O/P.R. No. ______________
PO No. ________ Date: _________ Invoice No. ________ Date: __________

Requesting Office/Department : Mayor’s Office

Item Unit Description Quantity

No.

1. unit Truck hire 2

Date Received: Date Inspected:

Inspected, verified and found OK as

Complete to quantity and specifications

Partial

JULIETO A. MANGGASANG ROMEL R. CANDELARIO

MDRRMO GSO