ABCDEFGHIJKLMNOPQRSTUVWXYZ
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 RECEIPT OF RETURNED PROPERTY AND EQUIPMENT/SUPPLIES AND MATERIALS
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SK of Barangay:RRPE/SM No.:
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City/Municipality: Date:
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Province:
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This is to acknowledge receipt of the Property and Equipment/Supplies and Materials
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Item DescriptionQuantityPAR/ICS No.End-userRemarks
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Returned by: Received by:
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______________________________________________________________________
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 Signature over Printed Name Signature over Printed Name
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 ___________________ ___________________
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 DateDate
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