INSPECTION AND ACCEPTANCE REPORT
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Corresponding RFI No.
Corresponding RFI No. 2
Please Select
RFI Date
-
Month
-
Day
Year
Date
Fund Cluster
Supplier
PO No. and Date
Requisitioning Office Dept.
Responsibility Center Code
IAR No
IAR Date
/
Month
/
Day
Year
Date
Invoice No
Invoice Date
/
Month
/
Day
Year
Date
Item Description
Unit
Quantity
INSPECTION
Date Inspected
/
Month
/
Day
Year
Date
Check the box:
Inspected, verified and found in order as to quantity and specifications
Inspector's Signature
Inspector's Full Name and Designation
Email
example@example.com
ACCEPTANCE
Date Received
/
Month
/
Day
Year
Date
Item delivered is:
Complete
Partial (pls. specify quantity)
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