Appendix 59

INVENTORY CUSTODIAN SLIP

Entity Name:
Fund Cluster : ____________01__________________ ICS No :
Amount
Inventory Estimated
Quantity Unit Unit Description
Total Cost Item No. Useful Life
Cost

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
TOTAL -
Received from: Received by:

__________________________________ ______________________________
Signature Over Printed Name Signature Over Printed Name

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Position/Office Position/Office
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Date Date