Quezon Colleges of the North

Ballesteros, Cagayan

LIST OF ACCOUNTABLE MATERIALS FOR SY 2019-2020

NAME OF TEACHER/ STAFF: __________________________________________________________

I hereby acknowledge receipt, the items listed below, which have been entrusted to me by the school
in the disposition of my job. My signature after “Date Received” acknowledges that

 I have received the items in good condition

 When demanded from me by the school, I am accountable for the return of these items in the
condition that these were entrusted to me
 I will be responsible for the replacement of these items should these be lost or damaged

_______________________________
Signature of Employee
INVENTORY ITEM DATE DATE UNIT
NO. RECEIVED RETURNED COST

On returning the items, the receiving custodian shall:

1. Acknowledge receipt of the items

2. Date the items were returned
3. Indicate the condition of each item on return
4. Report to Accounting any loss or damage to determine the extent of the employee’s
accountability

______________________________________
Signature over Printed Name / Property Custodian

212 Cortez St., Centro East, Ballesteros, Cagayan, 3516 Philippines

Tel. No. +63-78 255-0937 Mobile +63-917 120-7004
email: quezoncollegesofthenorth@yahoo.com / qcn.accntg@gmail.com
Quezon Colleges of the North
Ballesteros, Cagayan

212 Cortez St., Centro East, Ballesteros, Cagayan, 3516 Philippines

Tel. No. +63-78 255-0937 Mobile +63-917 120-7004
email: quezoncollegesofthenorth@yahoo.com / qcn.accntg@gmail.com