Department of The Interior and Local Government Bureau of Fire Protection
Department of The Interior and Local Government Bureau of Fire Protection
Region V
Camarines Sur Provincial Office
GOA CENTRAL FIRE STATION
Catagbacan, Goa, Camarines Sur OWNER’S COPY
09997027195
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ACKNOWLEDGEMENT
This is to acknowledge that permission was granted to the above-named Fire Safety
Inspector/s accompanied by authorized representative to conduct Fire Safety Inspection within the
premises in accordance with law.
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Signature over Printed Name/Authorized Representative Date/Time
PAALALA: “MAHIGPIT NA IPINAGBABAWAL NG PAMUNUAN NG BUREAU OF FIRE PROTECTION SA MGA KAWANI NITO
ANG MAGBENTA O MAGREKOMENDA NG ANUMANG BRAND NG FIRE EXTINGUISHER”