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Disposal Report (Form 5)

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malvarbatangas.mctc
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868 views

Disposal Report (Form 5)

Uploaded by

malvarbatangas.mctc
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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FORM 5

DISPOSAL REPORT

Date:_________

Responsible Officer:________________
Station:________________
Coverage of Report 1st/2nd/3rd/4th quarter 20_______

Property Number Description of ARE issued to: Purchased Price Date Acquired Disposal Code* Disposal Mode Disposal Price
Item (where applicable)

Number of Items:_____________ Total: P_____________ P___________


*Disposal Code: The primary reason for disposing the property

OB Obsolete due to changed procedures, functions or usage patterns


HS No longer complies with health and safety standards
NN No longer needed
XE Exceeded economic life
US Unserviceable or beyond repair for the cause specified
XS Requires repair or maintenance in excess of fifty percent of current market value
SH Requires special handling, such as items of cultural value

DISPOSAL CERTIFICATION

I certify that the properties involved have been disposed of in the approved manner and that said properties have not been
directed or converted to improper use.
(Branch Clerk of Court)
_______________________
Signature over printed name

_______________
Date

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