Appendix 71 - PAR

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Appendix 71

PROPERTY ACKNOWLEDGMENT RECEIPT

Entity Name : ______________________________________

Fund Cluster: ______________________________________ PAR No.: _________________


Location: Date Prepared: _________________________

MODE OF ACQUISITION
Property Date ( MOOE,
QTY Unit Description Amount
Number Acquired Donation, DCP, Others)

Received by: Issued by:

_________________________________________ __________________________________________

Signatue over Printed Name of End User Signatue over Printed Name of Supply and/or Property Custodian

__________________________________ _______________________________
Position/Office Position/Office
_________________________ _________________________
Date Date

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