Department of Education

Region x-Northern Mindanao

DIVISION OF MISAMIS ORIENTAL
MISAMIS ORIENTAL GENERAL COMPREHENSIVE HIGH SCHOOL

SUBJEC QUANTITY
T AND YEAR Donation/MOOE/other Actual Lossess
GRADE DELIVERE TITLE (b) s Quantit and Remark
LEVEL D y of Damage s
(a) LRs (c) s (d)
GRADE 9          
SCIENCE School Issue DUE TO
 2013 SCIENCE LM 150 15
9 FLOOD
SCIENCE TM 1 1

Name of Department: SCIENCE Building Name: PAGCOR

Name of Teachers: MA. LENI P. SABULBERO Room No/Section: 2ND FLR. 9- LEWIS ROOM

REPORT AS OF JULY 2020

Sample format for Books

Sample format for Equipment/machineries/chairs/table/ceiling fans, others

QUANTITY
Date of Unit of Quantity Remarks
DESCRIPTION Acquisition measure Quantity per Total
Issue physical Value
count
Tables 2016 Pc 3 3 3,000 MOOE
Chairs 2016 pcs 50 30 School
Ceiling fan 2017 Unit 1 1 1000 Donation
Smart TV 2018 Unit 1 1 18000 Donation
Cabinets 2016 set 3 3 2000 Donation
TV 2014 set 1 1 2000 Donation
Karaoke 2014 set 1 1 1500 Donation

Note:

1. Don’t forget documentation/pictures upon submission of report.

2. Please send us a copy of losses of books and copy of receipt of payment. (if any)
3. Give us a copy damage/losses of equipment and payment receipt for proper recording and
consolidating.
 4. For disposable of item use the format of school disposal form, copy of documentation and
procedure. Do not dispose the item, the supply officer will check, verify and dispose the said
item and issue certification for relief of accountability

Prepared by: Verified by:

Ma. Leni P. Sabulbero Breza O. Cosinero, Ph.D
Teacher Department Head Teacher VI

Ronjie C. Rosete, PhD.

Building Supervisor

Approved by:

PEDRO R. ESTANO, JR. ,PhD.

Principal IV