Appendix 66

REPORT ON THE PHYSICAL COUNT OF INVENTORIES

Classroom Furnitures and Fixtures
(Type of Inventory Item)

As of ____November,2021____________________

Fund Cluster : ________________________________

For which Jo-Ann S. Padilla, Grade III-2 Teacher, Mahipon Elementary School is accountable, having assumed such accountability on __November,2021___.

Balance Per On Hand Per Shortage/Overage

Unit of
Article Description Date Acquired Stock Number Unit Value Card Count Remarks
Measure
(Quantity) (Quantity) Quantity Value
Pupils Chair Armchair (all wood) 1998 ME105325-FF-G310001 pcs 425.00 35 In good condition -Grade III-2Donation (MhpES)
Storage Box Black Storage box 2020 ME105325-FF-G3-0002 pc 350.00 2 In good condition -Grade III-2Donation (MhpES)
board Black/Green chalkboard wood(big) 2021 ME105325-FF-G3-0003 pcs 350.00 2 In good condition -Grade III-2Donation (MhpES)

Certified Correct by: Approved by: Verified by:

KRISTINE G. VENDIVEL AURORA A. LAVILLA _______________________________

Signature over Printed Name of Inventory Committee Chair and Members Signature over Printed Name of Head of Signature over Printed Name of COA Representative
Agency/Entity or Authorized Representative
 Appendix 66
REPORT ON THE PHYSICAL COUNT OF INVENTORIES
Classroom Appliances
(Type of Inventory Item)

As of ____November,2021____________________

Fund Cluster : ________________________________

For which Jo-Ann S. Padilla, Grade III-2 Teacher, Mahipon Elementary School is accountable, having assumed such accountability on __November ,2021___.

Balance Per On Hand Per Shortage/Overage

Unit of
Article Description Date Acquired Stock Number Unit Value Card Count Remarks
Measure
(Quantity) (Quantity) Quantity Value
Electric fan Eureka Orbit Ceiling Fan 2021 ME105325-AP09-G30001 pcs 1,939.00 4 In good condition-Grade III-2/Donation (MhpES)

Certified Correct by: Approved by: Verified by:

KRISTINE G. VENDIVEL AURORA A. LAVILLA _______________________________

Signature over Printed Name of Inventory Committee Chair and Members Signature over Printed Name of Head of Signature over Printed Name of COA Representative
Agency/Entity or Authorized Representative
 Appendix 66
REPORT ON THE PHYSICAL COUNT OF INVENTORIES
Textbooks (LMs)
(Type of Inventory Item)
As of ____November,2021____________________

Fund Cluster : ________________________________

For which Jo-Ann S. Padilla, Grade III-2 Teacher, Mahipon Elementary School is accountable, having assumed such accountability on __November ,2021___.

Balance Per On Hand Per Shortage/Overage

Unit of Card Count
Article Description Date Acquired Stock Number Unit Value Remarks
Measure
(Quantity) (Quantity) Quantity Value
English 3 Developing Reading Power 3 2009 ME105325-ENG09-LM30001 cps 26.95 2 In Good Condition (Mahipon ES)
English 3 Developing Reading Versatility 3 8/8/2011 ME105325-ENG11-LM30002 cps 26.94 10 In Good Condition (Mahipon ES)
English 3 LM K+12 Lets Get Better in English 3 5/22/2013 ME105325-ENG13-LM3003 cps 31.25 27 In Good Condition (Mahipon ES)
Filipino 3 KM K+12 Batang Pinoy Ako 3 (KM) 9/30/2013 ME105325-FIL13-KM3004 cps 40.64 27 In Good Condition (Mahipon ES)
ESP 3 K+12 Edukasyon sa Pagpapakatao 3 KM Tagalog 10/16/2014 ME105325-ESP14-KM3005 cps 43.25 7 In Good Condition (Mahipon ES)
MAPEH 3 KM K+12 Music, Arts, Physical Education and Health 3 KM Tagalog 10/16/2014 ME105325-MAPEH14-KM3006 cps 39.81 27 In Good Condition (Mahipon ES)
MTB - MLE 3 LM K+12 Mother Tongue Based Multilingual Education 3 LM 2/11/2015 ME105325-MTB15-LM3007 cps 40.25 10 In Good Condition (Mahipon ES)
Math 3 KM K+12 Mathematics 3 KM Tagalog 2/3/2015 ME105325-MA15-KM3008 cps 23.18 22 In Good Condition (Mahipon ES)
AP 3 KM K+12 Araling Panlipunan 3 KM Tagalog 03/012016 ME105325-AP16-KM3009 cps 43.23 30 In Good Condition (Mahipon ES)
Science 3 LM K+12 Science and Health 3 LM 3/9/2016 ME105325-SCI16-KM30010 cps 23.18 30 In Good Condition (Mahipon ES)

Certified Correct by: Approved by: Verified by:

KRISTINE G. VENDIVEL AURORA A. LAVILLA _______________________________

Signature over Printed Name of Inventory Committee Chair and Members Signature over Printed Name of Head of Signature over Printed Name of COA
Agency/Entity or Authorized Representative Representative
 Appendix 66
REPORT ON THE PHYSICAL COUNT OF INVENTORIES
Teacher's Guide)
(Type of Inventory Item)
As of ____November,2021____________________

Fund Cluster : ________________________________

For which Jo-Ann S. Padilla, Grade III-2 Teacher, Mahipon Elementary School is accountable, having assumed such accountability on __November ,2021___.

Balance Per On Hand Per Shortage/Overage

Unit of Card Count
Article Description Date Acquired Stock Number Unit Value Remarks
Measure
(Quantity) (Quantity) Quantity Value
ArPan TG K+12 Araling Panlipunan 3 TG 3/9/2016 ME105325-AP16-TG30001 cps 22.56 1 In Good Condition (Mahipon ES)
MAPEH 3 TG K+12 Music, Arts, PE, & healthh TG Gr. 3 4/23/2018 ME105325-MAPEH18-TG30002 cp 44.28 1 In Good Condition (Mahipon ES)
Filipino 3 TG K+12 Batang Pinoy Ako TM Gr 3 4/23/2018 ME105325-FIL18-TM30003 cp 31.43 1 In Good Condition (Mahipon ES)
Science 3 TG K-12 Science Tagalog Grade 3 TG 7/20/2018 ME105325-SCIE18-TG30004 pcs 24.88 1 In Good Condition (Mahipon ES)
MTB - MLE 3 TG K-12 Mother Tongue BasedMultilingual TG 3 7/20/2018 ME105325-MTB18-TG30005 pcs 42.82 1 In Good Condition (Mahipon ES)
Math k-12 Mathematics: Kagamitan ng Mag aaral Gr 3 9/25/2018 ME105325-Math18-TG30006 pcs 35.42 1 In Good Condition (Mahipon ES)
English 3 TG K-12 Lets Get Better in English 3 9/25/2018 ME105325-Eng18-TG30007 pcs 39.93 1 In Good Condition (Mahipon ES)

Certified Correct by: Approved by: Verified by:

KRISTINE G. VENDIVEL AURORA A. LAVILLA _______________________________

Signature over Printed Name of Inventory Committee Chair and Members Signature over Printed Name of Head of Signature over Printed Name of COA
Agency/Entity or Authorized Representative Representative
 Appendix 66
REPORT ON THE PHYSICAL COUNT OF INVENTORIES
Personal Properties
(Type of Inventory Item)

As of ____November,2021____________________

Fund Cluster : ________________________________

For which Jo-Ann S. Padilla, Grade III-2 Teacher, Mahipon Elementary School is accountable, having assumed such accountability on __November ,2021___.

Balance Per On Hand Per Shortage/Overage

Unit of Card Count
Article Description Date Acquired Stock Number Unit Value Remarks
Measure
(Quantity) (Quantity) Quantity Value
rack broomstick rack (wood) 2013 ME105325-P13-G5-2-P0001 pc 500.00 1 In good condition -Grade III-2 (Mahipon )Personal
table table wood 2018 ME105325-P18-G5-2-P0002 pc 4,000.00 1 In good condition -Grade III-2 (Mahipon )Personal
electric fan stand fan 2018 ME105325-P18-G5-2P0003 pc 1000.00 1 In good condition -Grade III-2 (Mahipon )Personal
cabinet cabinet wood 2018 ME105325-P18-G5-2P0004 pc 500.00 1 In good condition -Grade III-2 (Mahipon )Personal
table table 2019 ME105325-P19-G5-2P0005 pc 789.00 1 In good condition -Grade III-2 (Mahipon )Personal
TV Spare LED TV 24inch. (SNVX24000180300234 2019 ME105325-P19-G5-2P0006 pc 4146.00 1 In good condition -Grade III-2 (Mahipon )Personal
table table wood 2020 ME105325-P19-G5-2P0007 pc 200.00 1 In good condition -Grade III-2 (Mahipon )Personal
storage box transparent storage box 2020 ME105325-P19-G5-2P0008 pc 150 1 In good condition -Grade III-2 (Mahipon )Personal
chair green plastic chair 2020 ME105325-P19-G5-2P0009 pc 200 1 In good condition -Grade III-2 (Mahipon )Personal
wood stand chart holder woord stand 2020 ME105325-P19-G5-2P0010 pc 150 1 In good condition -Grade III-2 (Mahipon )Personal
tv reciever tv signal reciever 2020 ME105325-P19-G5-2P0011 pc 800 1 In good condition -Grade III-2 (Mahipon )Personal
storage box green storage box 2021 ME105325-P19-G5-2P0012 pcs 150.00 2 In good condition -Grade III-2 (Mahipon )Personal
rack black utility 4 layer rack 2021 ME105325-P19-G5-2P0013 pc 300.00 1 In good condition -Grade III-2 (Mahipon )Personal
rack stainless shoe rack 2021 ME105325-P19-G5-2P0014 pc 300.00 1 In good condition -Grade III-2 (Mahipon )Personal

Certified Correct by: Approved by: Verified by:

KRISTINE G. VENDIVEL AURORA A. LAVILLA _______________________________

Signature over Printed Name of Inventory Committee Chair and Members Signature over Printed Name of Head of Signature over Printed Name of COA
Agency/Entity or Authorized Representative Representative
 Appendix 71

PROPERTY ACKNOWLEDGMENT RECEIPT

Entity Name : MAHIPON ELEMENTARY

Fund Cluster: ______________________________________

Property Date
Quantity Unit Description Amount
Number Acquired

Received by: Issued by:

AURORA A. LAVILLA

Signatue over Printed Name of End User Signatue over Printed Name of Supply and/or Property Custodian

School Principal SCHOOL PROPERTY CUSTODIAN

Position/Office Position/Office
_________________________ _________________________
Date Date