Fund Cluster : ________________________________ ICS No : ______________ Amount Inventory Estimated Quantity Unit Unit Description Total Cost Item No. Useful Life Cost 1 set 7,999.00 7,999.00 sofa 1 unit 1,480.00 1,480.00 multitie shelf
Received from: Received by:
RITA D. OMILA MILANER R. OYO-A
Signature Over Printed Name Signature Over Printed Name Supply Officer - Desginate Principal Position/Office Position/Office __________________________________ ______________________________ Date Date