Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF GUIHULNGAN CITY
GUIHULNGAN NATIONAL HIGH SCHOOL – HILAITAN
Hilaitan, Guihulngan City, Negros Oriental

School Year: 2018 – 2019

Grade and Section:

Quantity Item Donor’s Name Date Contact Number Donation

Donated Amount

Prepared by: Noted by:

____________________________ ______________________________
Teacher Principal
 Republic of the Philippines
Department of Education
Region VII, Central Visayas
DIVISION OF GUIHULNGAN CITY
GUIHULNGAN NATIONAL HIGH SCHOOL – HILAITAN
Hilaitan, Guihulngan City, Negros Oriental

Book:
Issued to Book Date Condition Date Condition Received by Remarks
(Name of Borrower ) Control Issued Returned (Name of
Number Recipient

Prepared by: Noted by:

______________________________________ _____________________________
Teacher Library Custodian
 Republic of the Philippines
Department of Education
Region VII, Central Visayas
DIVISION OF GUIHULNGAN CITY
GUIHULNGAN NATIONAL HIGH SCHOOL – HILAITAN
Hilaitan, Guihulngan City, Negros Oriental

SY: 2018 – 2019

Book: SHS TV Flatscreen – FBS 12

Issued to Date Condition Date Condition Received by Remarks
(Name of Borrower ) Issued Returned (Name of Recipient

Prepared by: Noted by:

FELY MAQUIPOTIN
____________________________________ _____________________________
TeacherIn-charge Custodian