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Appendix 65
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Republic of the Philippines
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Department of Education
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Region III
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Division of Mabalacat City
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Dapdap Elementary School
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WASTE MATERIALS REPORT
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Entity Name : DAPDAP ELEMENTARY SCHOOL
Fund Cluster : _____________________
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Place of Storage : Mauaque Rest. ES
Date : ________________________________
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ITEMS FOR DISPOSAL
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ItemQuantityUnitDescriptionRecord of Sales
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Official Receipt
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No. DateAmount
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119pcs.7 FEET
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221pcs.8 FEET
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340pcs.10 FEET
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427pcs.2x2x8
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526pcs.2x6x12
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612pcs.2x6x8
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71LOT
Scrap GI Sheet
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84pcs.
Steel Window
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91LOT
Assorted Lumber
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103pcs.
Wooden Door
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111LOT
Metal Scrap
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TOTAL
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Certified Correct :
Disposal Approved :
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__________________________________
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Signature over Printed Name of Supply and/or Property CustodianSignature over Printed Name of Head of Agency/Entity or his/her Authorized Representative
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CERTIFICATE OF INSPECTION
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I hereby certify that the property enumerated above was disposed of as follows:
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Item________Destroyed
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Item________
Sold at private sale
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Item________
Sold at public auction
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Item________
Transferred without cost to _______________________
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Certified Correct:
Witness to Disposal:
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Signature over Printed Name of Inspection OfficerSignature over Printed Name of Witness
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