Republic of the Philippines

Appendix 71
DEPARTMENT OF EDUCATION
National Capital Region
SCHOOLS DIVISION OFFICE
City of Mandaluyong
 

PROPERTY ACKNOWLEDGMENT RECEIPT

TABLET

Entity Name : EULOGIO RODRIGUEZ INTEGRATED SCHOOL

Fund Cluster: SPECIAL EDUCATIONAL FUND PAR No.: ___________

Property Date
Quantity Unit Description Amount
Number Acquired
Coby Tablet 8" MID8072 4G Rugged Tablet
8 inches IPS 1280' 800 HD Display
1 set
1.5 GHz Quad Core Processor
SN #:
X X X X X X X X X X X X X X X X X X X nothing follows X X X X X X X X X X X X X X X X X X X
(SEF)

We hereby certify that we have received the above listed equipment/property in good condition; that we personally assume
full responsibility and be held laible/accountable for the damage or loss of the above property that may arise in the future

Received by: Issued by:

______________________________________ __________________________________
(SIGNATURE OVER PRINTED NAME OF PARENT/GUARDIAN) Signature over Printed Name of Teacher/Adviser
Contact Number: _______________________
DAVE E. INOCENCIO
Signature over Printed Name of School Property
_______________________________________ Custodian (SHS)
(NAME OF END-USER/LEARNER)
Grade & Section : ____________________________

_________________________________ ___________________________
Date Date

Approved by:

ROMEO E. BANDAL
(Signature over Printed Name of School Head)