Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE

Municipality of Tampilisan

Date

CERTIFICATE OF DISTRIBUTION OF BIDS OR CANVASS

I HEREBY CERTIFY that I have furnished copies of this Bid or Quotation for
P.P. No. dated , 2017 to the following dealers
acknowledged by them under column " Received Copy" or noted " Mailed " by me on the
date shown below.

DEALER OR STORE RECEIVED COPY DATE RECEIVED/MAILED

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Signature Over Printed Name of Canvasser