Appendix 65

WASTE MATERIALS REPORT

Entity Name : _____________________________ Fund Cluster : _____________________

Place of Storage : INAYAWAN NATIONAL HIGH SCHOOL Date : MAY 02, 2019

ITEMS FOR DISPOSAL

Record of Sales
Item Quantity Unit Description Official Receipt
No. Date Amount
1 3 COPIES LM P.E. & HEALTH 8
2 5 COPIES LM MUSIC & ARTS 8
3 7 COPIES LM FILIPINO 8
4 5 COPIES LM MATH 8
5 6 COPIES LM VALUES 8
6 4 COPIES LM FILIPINO 9
7 5 COPIES LM MATH 9
8
9
10
11
12
35 COPIES TOTAL
Certified Correct : Disposal Approved :
CECILIA A. JABERINA RUBELYN B. MANGILAYA
Signature over Printed Name of Supply Signature over Printed Name of Head of
and/or Property Custodian Agency/Entity or his/her Authorized
Representative

CERTIFICATE OF INSPECTION

I hereby certify that the property enumerated above was disposed of as follows:

Item ____ü__ Destroyed

Item ________ Sold at private sale
Item ________ Sold at public auction
Item ________ Transferred without cost to _________________________

Certified Correct: Witness to Disposal:

Signature over Printed Name of Signature over Printed Name of

Inspection Officer Witness

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