REPORT OF SUPPLIES AND MATERIALS ISSUED

Entity Name: ___________________________________

Fund Cluster: __________________________________

To be filled up by the Supply and/or Property Division/Unit

Responsibilit
Quantity
RIS No. y Center Stock No. Item Unit
Issued
Code

Recapitulation: Recapitulation:
Stock No. Quantity Unit Cost
 Posted by:
I hereby certify to the correctness of the above information.
_____________________________________________
Signature over Printed Name of Supply and/or __________________________
Signature over Printed Name of Designated
Property Custodian Accounting Staff
 Appendix 64

ERIALS ISSUED

Serial No. : _______________________

Date : ___________________________

To be filled up by the Accounting Division/Unit

Unit Cost Amount

Recapitulation:
Total Cost UACS Object Code
________________________
e over Printed Name of Designated ______________
Accounting Staff Date