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JSL SECURITY AGENCY, INC

3/F City Coliseum San Pedro


Puerto Princesa City
M.R. FORM
Date: ______________
Item/unit

Description

Serial no.

Quantity

Note: You are responsible to keep the item/unit in good working condition. Report any defects or
problems in your item/unit for maintenance purposes. You will be held liable to pay for any
damages, maintenance or loss of the unit/item issued to you.
Received by: ___________________________________
(Print and Signature)

Issued by: ____________________________________

JSL SECURITY AGENCY, INC


3/F City Coliseum San Pedro
Puerto Princesa City
M.R. FORM
Date: ______________
Item/unit

Description

Serial no.

Quantity

Note: You are responsible to keep the item/unit in good working condition. Report any defects or
problems in your item/unit for maintenance purposes. You will be held liable to pay for any
damages, maintenance or loss of the unit/item issued to you.
Received by: ___________________________________
(Print and Signature)

Issued by: ____________________________________

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