Republic of The Philippine2
Republic of The Philippine2
Department of Education
Region I
Schools Division Office I Pangasinan
Calasiao II, Cluster of Schools
Malabago Elementary School
Supplier: ________________________________________
PO No: ____________ Date: ______________ INVOICE No.: ______ Date: _____________
Requisition Office/ Dept. _________________________
O.R # Unit Description Quantity
Inspection Acceptance
Date Inspected: ______________ Date Received: ____________
Market Form
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_____________________________________
VENDOR
Republic of the Philippines
Department of Education
Region I
Schools Division Office I Pangasinan
Calasiao II, Cluster of Schools
Malabago Elementary School
____________________________________________(P_________________)
(in Words) (in Figures)
_________________________________________________________________
Inclusive dates, purpose, distance, inclusive points of travel, etc)
_________________________________________________________________
PAYEE
Name/Signature: ZORAIDA C. BERANIA
Address: LONGOS, CALASIAO, PANGASINAN
WITNESS
Name/Signature:____________________________________________
Address: __________________________________________________