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REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF FINANCE
BUREAU OF CUSTOMS
M A N I L A 1099

ACKNOWLEDGEMENT RECEIPT FOR EQUIPMENT (ARE)

QUANTITY UNIT DESCRIPTION Property No.
1 UNIT Uninterruptible Power Supply
S/N: SMD 100020160121ZY0235
Brand: Accu-Power
Date Acquired: 11/29/2016

Supplier: ASPEX INC (02)997-0000

***Unit received in GOOD WORKING CONDITION *** *** Transfer of accountability and responsibility ***
Unit is for Official use only any malicious use shall be the responsibility and liability of the end user.
***Unit (with accessories) to be returned to MISTG upon re-assignment, change/transfer/detail of office,
retirement, resignation, non-renewal of contract/job order, termination, dismissal, discharge***
**Loss of unit shall be paid or replaced with the same kind of unit by end user**
***** NOTHING FOLLOWS*****
Received By: Issued By:

ATTY. ROSWALD JOSEPH J. PAGUE MICHAEL VINCENT A. INTONG

Signature Over Printed Name Signature Over Printed Name

Site Manager
OIC-Dep. Collector for Operations
Position
Position

TMS-MISTG, Port of Cagayan de Oro

District Port of MCT-SP
Port/Division/Office
Port/Division/Office

December 8, 2016 December 8, 2016

Date Issued Date