ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
Appendix 64
2
3
REPORT OF SUPPLIES AND MATERIALS ISSUED
4
5
6
Entity Name: ___________________________________
Serial No. : _______________________
7
Fund Cluster: __________________________________
Date : ___________________________
8
9
To be filled up by the Supply and/or Property Division/UnitTo be filled up by the Accounting Division/Unit
10
RIS No.Responsibility Center Code Stock No.ItemUnitQuantity
Issued
Unit CostAmount
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
Recapitulation:Recapitulation:
34
Stock No.QuantityUnit CostTotal CostUACS Object Code
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Posted by:
51
I hereby certify to the correctness of the above information.
52
_____________________________________________________________________________________
53
Signature over Printed Name of Supply and/or Property CustodianSignature over Printed Name of Designated Accounting StaffDate
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100