WASTE MATERIALS REPORT

CITY GOVERNMENT OF DAVAO

LGU

Place of Storage : Date:

ITEMS FOR DISPOSAL
RECORD OF SALES
ITEM QTY. UNIT UNIT COST DESCRIPTION
O.R. NO. AMOUNT

Certified Correct: Disposal Approved:

STEPHEN S. ACOSTA GLORIA P. LABOR, Ed. D., CESO V

Property Officer Department Head

CERTIFICATE OF INSPECTION
I hereby certify that the property enumerated above was disposed of as follows:
Item Destroyed
Item Sold at private sale
Item Sold at public auction
Item Transferred without cost to

Property Inspector: Witness to

(Name and Signature)

Received Original Copy By: Control Number (GSO)
Waste Materials Received By:

Date: Date:
Original copy for City Accountant's Office; Yellow copy for City Auditor's Office; White copy for Requisitioning Dept.; Pink copy for City GSO Warehouse