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WASTE MATERIALS REPORT

Entity Name:

COURT OF TAX APPEALS

Fund Cluster:

Property and Supply Division

Place of Storage:

Date: 2/16/2015

ITEMS FOR DISPOSAL


ITEM

QTY.

UNIT

pc.

RECORD OF SALES
Official Receipt
No.
Date

DESCRIPTION

UPS Battery
***Nothing follows***
Part of: 11-CTA-198 (Networking)

TOTAL
Disposal Approved:

Certified Correct:

ROMMEL A. LANDICHO
Property Officer

Signature over Printed Name of Head


Agency/Entity or his/her Authorized
Representative

CERTIFICATE OF INSPECTION
I hereby certify that the property enumerated above was disposed of as follows:
Item
Item
Item
Item

Destroyed
Sold at private sale
Sold at public auction
Transferred without cost to ___________

Certified Correct:

Signature over Printed Name of

Witness to Disposal:

Signature over Printed Name of

Inspection Officer

Witness

No. 15
01
Date: 2/16/2015

CORD OF SALES
Official Receipt
Amount

s:

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