Appendix 73

REPORT ON THE PHYSICAL COUNT OF PROPERTY, PLANT AND EQUIPMENT

________________________________
(Type of Property, Plant and Equipment)
As at ________________________________

Fund Cluster : ________________________________

For which ___(Name of Accountable Officer)__, _ (Official Designation)___, _______(Entity Name)________ is accountable,
having assumed such accountability on (Date of Assumption).

QUANTITY per QUANTITY per SHORTAGE/

PROPERTY UNIT OF UNIT OVERAGE
ARTICLE DESCRIPTION PROPERTY PHYSICAL REMAKS
NUMBER MEASURE VALUE
CARD COUNT Quantity Value

Certified Correct by: Approved by: Verified by:

Signature over Printed Name of Inventory Signature over Printed Name of Signature over Printed Name of COA
Committee Chair and Members Head of Agency/Entity or Representative
Authorized Representative