Fillable Printable Sample Material Receiving Report Form
Fillable Printable Sample Material Receiving Report Form
![Sample Material Receiving Report Form](/resources/formfile/images/10000/sample-material-receiving-report-form-page1.png)
Sample Material Receiving Report Form
![](/resources/formfile/htmls/10000/sample-material-receiving-report-form/bg1.png)
“SAMPLE” MATERIAL RECEIVING REPORT FORM
Receiving Report
County of ____________________, Tennessee
Department:____________________
Purchase Order No:______________
Requisition No:__________________
Item No. Description Quantity Unit Price Extension
Freight Charge:____________
Total:____________
“I hereby certify that the material or services has been received,
inspected and found satisfactory for the purpose for which they
were purchased:”
____________ __________________________
Date Received Inspector