ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
Appendix 62
2
3
INSPECTION AND ACCEPTANCE REPORT
4
5
6
Entity Name : ______________________________
Fund Cluster : ___________
7
8
 Supplier : ______________________________________________
IAR No. : _______________
9
 PO No./Date : ___________________________________________
Date : _________________
10
 Requisitioning Office/Dept. : _______________________________
Invoice No. : ____________
11
 Responsibility Center Code : _______________________________
Date : _________________
12
13
Stock/
Property No.		DescriptionUnitQuantity
14
15
16
17
18
19
20
21
22
23
24
25
26
27
INSPECTIONACCEPTANCE
28
Date Inspected : ________________________Date Received : _____________________
29
30
Inspected, verified and found in order as to quantity and specificationsComplete
31
32
Partial (pls. specify quantity)
33
34
35
_______________________________________________________________________________
36
Inspection Officer/Inspection CommitteeSupply and/or Property Custodian
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100