ABCDEFGHIJKLMNOPQRSTUVWXYZ
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REPORT ON INVENTORY OF DONATED SUPPLIES AND MATERIALS
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As at ______________, 20___
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SK of Barangay: _______________________
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City/Municipality: ______________________
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Province: _____________________________
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For which _______________________________, _______________ is accountable, having assumed such accountability on _______________.
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(Name of Accountable SK Official) (Official Designation )
(Date of Assumption)
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Article
(1)		Item Description
(2)		Stock No.
(3)		Unit of Measurement
(4)		Unit Cost
(5)		Balance
Per RDSM
(Quantity)
(6)		On Hand
Per Count
(Quantity)
(7)		Shortage/OverageRemarks
(10)
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Quantity
(8)		Value
(9)
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Prepared and Certified Correct by:Approved by:
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___________________________________________________________________________________________________________
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Signature over Printed Name Signature over Printed NameSignature over Printed NameSignature over Printed Name
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Member, Inventory CommitteeMember, Inventory CommitteeHead, Inventory CommitteeSK Chairperson
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Date:________________Date:_________________Date:___________________Date:_________________
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