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Annex A.10
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INVENTORY AND INSPECTION REPORT OF UNSERVICEABLE SEMI-EXPENDABLE PROPERTY
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As at _________________________________
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Entity Name: _______________________________________
Fund Cluster : _____________________
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______________________________
____________________________________________________________
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(Name of Accountable Officer)(Designation) (Station)
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INVENTORYINSPECTION and DISPOSAL
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Date AcquiredParticulars/ ArticlesSemi-expendable Property
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QtyUnit
Cost
Total
Cost
Accumulated
Impairment Losses
Carrying
Amount
RemarksDISPOSALAppraised
Value
RECORD OF SALES
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SaleTransferDestructionOthers
(Specify)
TotalOR No.Amount
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(1)(2)(3)(4)(5)(6)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)
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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 disposition made thereof was, in my judgment, the best for the public interest. I CERTIFY that I have witnessed the disposition of the articles enumerated on this report this ____day of _____________, _____.
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Requested by:
Approved by:
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(Signature over Printed Name of Accountable Officer)(Signature over Printed Name of Authorized Official)(Signature over Printed Name of Inspection Officer)(Signature over Printed Name of Witness)
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(Designation of Accountable Officer)(Designation of Authorized Official)
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