Republic of the Philippines
PROVINCE OF LA UNION
San Fernando City, La Union
PROVINCIAL GENERAL SERVICES OFFICE
BORROWER'S SLIP
DATE:
OFFICE: ADDRESS:
KIND OF UNIT: Monobloc chair Industrial fan
Monobloc table Table Cloth
La Union Flag Plastic Drum
Philippine Flag Power Sprayer
Flag pole w/ stand Ladders
Others:(pls specify)
PURPOSE:
TIME: VENUE:
Loss, defective parts and damaged equipment will be replaced immediately by the undersigned and acknowledged responsibilities.
Approved by:
ENGR. ROBERT L. LELINA
OIC-PROVINCIAL GENERAL SERVICES OFFICE
Received by: Issued by:
Signature over printed name Signature over printed name
RETURN SLIP
Unit defective or spare parts missing (specify)
Returned the unit in good condition on
Date/Time
Returned by: Received by: Noted by:
Signature over printed name Signature over printed name ENGR. ROBERT L. LELINA
OIC-PROVINCIAL GENERAL SERVICES OFFICE
Republic of the Philippines
PROVINCE OF LA UNION
San Fernando City, La Union
PROVINCIAL GENERAL SERVICES OFFICE
BORROWER'S SLIP
DATE:
OFFICE: ADDRESS:
KIND OF UNIT: Monobloc chair Industrial fan
Monobloc table Table Cloth
La Union Flag Plastic Drum
Philippine Flag Power Sprayer
Flag pole w/ stand Ladders
Others:(pls specify)
PURPOSE:
TIME: VENUE:
Loss, defective parts and damaged equipment will be replaced immediately by the undersigned and acknowledged responsibilities.
Approved by:
ENGR. ROBERT L. LELINA
OIC-PROVINCIAL GENERAL SERVICES OFFICE
Received by: Issued by:
Signature over printed name Signature over printed name
RETURN SLIP
Unit defective or spare parts missing (specify)
Returned the unit in good condition on
Date/Time
Returned by: Received by: Noted by:
Signature over printed name Signature over printed name ENGR. ROBERT L. LELINA
OIC-PROVINCIAL GENERAL SERVICES OFFICE