Inventory Forms
Inventory Forms
Appendix 30
Date
RIS No.
Consumables (8-72-700)
5 6
REQUISITION AND ISSUE SLIP Department of Education Division of Agusan del Sur
Division: District: Office: AGUSAN DEL SUR Division Office Responsible Center Code: Ris No. SAI No. Date: Date:
Requisition
Stock No. Description Qty Unit
Issuance
Unit Price Total Value
TOTAL Purpose: Requested by: Signature Name Designation Date Aprroved by: Issued By:
Received by:
Annex G-9
Remarks
Received by:
Appendix 53 Department of Education DIVISION OF AGUSAN DEL SUR Government Center, Patin-ay, Prosperidad, Agusan del Sur
TOTAL Received by : Received from: CHRISTOPHERSON F. MORENO Signature Over Printed Name Division Supply Officer - Designate Position
Position
Date
Date Appendix 53
STOCK CARD
Department of Education Agency Item : Receipt Date Reference Qty. Qty. Description : Issuance Office Stock No.: Re-order Point: Balance Qty.
Appendix 38
Appendix 53 Department of Education DIVISION OF AGUSAN DEL SUR Government Center, Patin-ay, Prosperidad, Agusan del Sur
Unit Cost
Appendix 9
PROPERTY CARD Department of Education Agency Property, Plant and Equipment: Description: Receipt Qty. Qty. Transfers/Disposal Office/Officer Balance Qty. Property Number:
Date
Reference
(Agency)
( Designation ) I N S P E C T I O N DISPOSITION R E P O R T Appraisal Official Receipt Number (9) (10) (11) (12) (13) (14) (15) (16) Amount
Articles
Quantity
Unit Cost
Total Cost
Property No.
Date Acquired
(1)
(2)
(3)
(4)
(5)
(6)
I HEREBY request inspection, and disposition pursuant to Section 79 of PD 1445, of the Property enumerated above.
I CERTIFY that I have inspected each and every article enumerated in this report and that the I CERTIFY that I have witnessed the diposition of the article enumerated on this report this ______ day of ______________________.
disposition made thereof was, in my judgement, the best for the public interest.
Requested by :
( Name and Signature ) ( Name and Signature of Inspector ) ( Name and Signature of Witness )
( Designation )
Republic of the Philippines Department of Education Caraga Administrative Region Division of Agusan del Sur Government Center, Patin-ay, Prosperidad
Qty
Unit
Description
Unit Price
Amount
-
Total
1st Indorsement
Division of Agusan del Sur
Respectfully forwarded to the Disposal Committee, Pursuant to the provision of executive order No. 888 dated March 18, 1983 for appropriate action.
Certificate of Inspector
WE HEREBY CERTIFY THAT PROPERTY LISTED ABOVE DISPOSED AS FOLLOWS: ITEMS ITEMS ITEMS ITEMS ITEMS WITNESS TO DISPOSITION: Destroyed or burned Sold at public auction Sold at private sale Tranferred w/out cost to _____________ Continued in Service
CHRISTOPHERSON F. MORENO
_________________________
2nd Indorsement
Respectfully returned to the Schools Division Superintendent, Patin-ay, Prosperidad, Agusan del Sur, hereby approving the action of the property Inspector as contained in his foregoing certificate, The proceeds for sales should be taken up as a credit to _______________________ . Signature Over Printed Name Designation
/District Supervisor
Department of Education
DepEd, Division of Agusan del Sur
Supplier
Quantity
Item Description
Unit Cost
Total Cost
Remarks
Prepared by:
Date:
DEPARTMENT OF EDUCATION PHYSICAL INVENTORY FOR PROPERTY, PLANT AND EQUIPMENT DIVISION OF AGUSAN DEL SUR
SCHOOL: DISTRICT: Estimated Date life yrs Acquired Status (serviceable | unserviceable)
Property code
Property # | ARE #
Article
Qty
Unit cost
Total
Accountable officer
Remarks
Prepared by:
Date:
District: Region:
Date of Acceptance/ Turnover Cost Funding Source Materials Flooring Roofing Wall Condition No. of Stories No. of Rooms Usage of Rooms
Type of Building No. Code 1 2 3 4 5 6 7 8 9 10 11 12 Type Gabaldon Magsaysay Marcos Imelda SEDIP TEEP New Con TEEP Repaired SPHERE (PFSED) RED & BLACK (PFSED) FVR WATSAN Toilet New Con Toilet Repaired DPWH DepED GAA Others: Specify
Proof of Ownership Cert. of Inspection and Acceptance 2 Certificate of turnover Deed of 3 donation 4 Others: Specify Materials Used 1 2 3 4 5 6 Steel Concrete Wood Nipa G.I Sheets Others: Specify 1 1 2 3 4 5 6 7 8 9 10 11
Usage of Room Academic Classroom Science Laboratory Practical Arts Home Economics Workshop Office Store Room Library Conference Room Clinic Others: Specify
1 2 3 4 5 6 7
Conditions Good Need Repair Need Rehab Condemnable Incomplete Under Constr'n Others: Specify
Funding Sources 1 2 3 4 5 6 7 8 9 10 11 DepED GAA LGU NGO PTCA JICA AUS AID TEEP SEDIP CDF DPWH Others: Specify
13
14 15 16
Prepared by:
Date: