Republic of the Philippines

PROVINCE OF ZAMBOANGA SIBUGAY

Municipality of Buug
-oOo-

OFFICE OF THE MUNICIPAL TREASURER

PRE- REPAIR INSPECTION REPORT

TO WHOM IT MAY CONCERN:

This is to certify that the motorcycle, Honda XRM 125, Motard in the office of the
Municipal Health Officer is subject to the following repairs:

1. replacement of tires and inner tubes, rear and front

2. replacement of sprockets, outer and inner, and
3. replacement of chain

ISSUED this 11th day of September, 2015 at Buug, Zamboanga Sibugay.

CORNELIO V. MIRAFUENTES
Property and Supply Officer
 Republic of the Philippines
PROVINCE OF ZAMBOANGA SIBUGAY
Municipality of Buug
-oOo-

OFFICE OF THE MUNICIPAL TREASURER

CERTIFICATION OF WEAR AND TEAR

TO WHOM IT MAY CONCERN:

This is to certify that the motorcycle, Honda XRM 125, Motard in the office of the
Municipal Health Officer is this Local Government Unit and that despite due diligence and care
in the use of the same it came to the point that parts thereof were worn out and subject to
repairs and replacements and that if the same would not be attended to at once would render
the unit unserviceable disadvantageous to the office operations of the office.

ISSUED this 5th day of June, 2015 at Buug, Zamboanga Sibugay.

DR. REMEGIO K. CORDENILLO JR.

Municipal Health Officer - IV
 Republic of the Philippines
PROVINCE OF ZAMBOANGA SIBUGAY
Municipality of Buug
-oOo-

OFFICE OF THE MUNICIPAL TREASURER

POST-REPAIR INSPECTION REPORT

TO WHOM IT MAY CONCERN:

This is to certify that the motorcycle, Honda XRM 125, Motard in the office of the
Municipal Health Officer is a property of this Local Government Unit and that repairs thereof
were found to be in accordance with the purchase request and pre-repair inspection that were
made.
ISSUED this 11th day of September, 2015 at Buug, Zamboanga Sibugay.

CORNELIO V. MIRAFUENTES
Property and Supply Officer
 REPORT OF WASTE MATERIALS

Name of Local Government Unit: LGU – BUUG

Department/ Office: MHO Place of Storage: MHO, Buug, Z.S.
Date: 6 -15 -2015

Item Qty Unit of Unit Cost Total Description Record of Sales

No. Issue Cost O.R. No. Amount
1 1 Pc. Chain and sprocket
2 2 Pc. Tire
3 2 Pc. Inner tubes, 250x17

Total
Total ----------→ ---→

CERTIFIED CORRECT

NITA H. QUINTERO HON. JONAM R. LAGAS

Municipal Treasurer Municipal Mayor
CERTIFICATE OF INSPECTION

This is to certify that I have this ______ day of _____________, inspected the above-listed
supplies/property and found the same to be (with or without value) _____________________.

ROLLY A. MAINQUE
(Provincial/City/ Municipal Auditor)
CERTIFICATE OF DISPOSAL

This is to certify that the above-listed supplies/property were disposed of as

follows: ___________________________________________________________________

NITA H. QUINTERO HON. JONAM R. LAGAS

Municipal Treasurer Local Chief Executive

Witnessed by: ROLLY A. MAINQUE

(Provincial/City/ Municipal Auditor)