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WASTE MATERIALS REPORT

DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT


Field Office VII, Cebu City

Place of Storage: DSWD FO VII Cebu City 5/23/2019


Items for Disposal: IT EQUIPMENT
Acquired Record of Sales
ITEM QTY UNIT DESCRIPTION
Cost/Date OR. NO.

1 1 UNIT
MAIN CHARGER OF KYOCERA TASKALFA 3010i 01/05/2016
130,000.00
●DESCRIPTION : KYOCERA TASKALFA 3010i

●MODEL : TASKALFA 3010i Main Charger MC-7105

Serial Nos.:

140-19446 / 432
Conclusion: For disposal of defective Main Charger for Kyocera Taskalfa 3010i. The said defective part was already
replaced and the printer is now functioning.

Certified Correct Disposal Approved:

JERRY V. RUIZ REBECCA P. GEAMALA


RITO II OIC-Regional Director
Signature over printed name Signature over printed name
of Supply and/ or Property Custodian Signature over printed name
CERTIFICATE OF INSPECTION
I hereby certify that the property enumerated above was disposed as follows :

Item __________ Damages/spoiled/dented/rusty


Item __________ Sold at Private Sale
Item __________ Sold at Public Auction
Item __________ Transferred w/o cost

Property Disposal and Awards Committee:

_______________________ __________________ ____________________


ENGR. EMMANUEL EDLES EDWARD DAPITON ROSARIO P. BACONG
TWG / INSPECTION TEAM, RPDAC Member, RPDAC Member, RPDAC

_____________________ _____________________
LOUIE RAY C. VILLARIN PATRICIA R. MEGALBIO
Member, RPDAC Member, RPDAC

____________________ _________________
ANTONIO R. DOLAOTA GRACE Q. SUBONG
Vice Chairperson, RPDAC Chairman, RPDAC

Witnes to Disposal :

EZRA ROEL S. ARCHIVAL _________________


Internal Auditor/MAA COA Representative
Date: _______________ Date: _______________
ATERIALS REPORT
CIAL WELFARE AND DEVELOPMENT
eld Office VII, Cebu City

Record of Sales
Amount

or Kyocera Taskalfa 3010i. The said defective part was already

REBECCA P. GEAMALA
OIC-Regional Director
Signature over printed name
Signature over printed name
FICATE OF INSPECTION
lows :

________________ ____________________
WARD DAPITON ROSARIO P. BACONG
Member, RPDAC Member, RPDAC

_________________ _____________________
E RAY C. VILLARIN PATRICIA R. MEGALBIO
Member, RPDAC Member, RPDAC

________________ _________________
ONIO R. DOLAOTA GRACE Q. SUBONG
hairperson, RPDAC Chairman, RPDAC

COA Representative
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
Field Office VII
Cor. M.J. Cuenco and Gen. Maxilom Avenue, Cebu City

PRE - REPAIR INSPECTION REPORT


Inspection Requested by Date Requested

NEMESIO M. BOYONAS 3/18/2019


CMT II
(Printed Name/ Designation/ Signature

SUBJECT OF INSPECTION REMARKS


PRINTER
NO POWER
Description : SAMSUNG
Model: XPRESS M2020
Serial Nos.:
072VB8GF4B00N7K / 10274

Date Inspected:

FINDINGS/ RECOMMENDATIONS

JERRY RUIZ

Noted:

Inspection Committee

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