Fillable Printable Sample Material Receiving Report Form
Fillable Printable Sample Material Receiving Report Form
Sample Material Receiving Report Form
“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
