MUNICIPALITY OF …………
PROVINCE OF …………
Works of …………
Company: ............
Contract date ............ rep. No. ............ registered at ............ on ............
Contractual amount of the works euro ......... net of the auction reduction of .......%
Sample collection report
On the day ............ of the month ............ of the year two thousand ............, the undersigned ....... legal representative of the company that took on the aforementioned works, jointly, proceeded to the following withdrawals:
…………
…………
………….
in the following ways ..................................
Looking forward to the lab results
it is established that the sample has the following characteristics:
…………
…………
………….
and is considered with the same characteristics as art. ………… of the list of unit prices attached to the contract.
Of which this report is drawn up which, after reading and confirmation, is signed by the attendees.
The contractor
The construction manager
Visa: The person in charge of the procedure