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INSPECTION AND ACCEPTANCE REPORT
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Entity Name :
DEPED-LDN
Fund Cluster :
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 Supplier : IAR No. :
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 PO No./Date : Date :
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Requisitioning Office/Dept. :
Invoice No. :
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 Responsibility Center Code : 70010810003Date :
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Stock/
Property No.		DescriptionUnitQuantity
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Date Inspected : ________________________Date Received : _____________________
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 Inspected, verified and found in order as to quantity and specifications Complete
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Partial (pls. specify quantity)
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Inspection Officer/Inspection CommitteeSupply and/or Property Custodian
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END USER:
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