Appendix 59

INVENTORY CUSTODIAN SLIP

Entity Name: DIVISION OF TANGUB CITY

Fund Cluster : ____________ ICS No :
Amount
Date Estimated
Quantity Unit Description Inventory Item No.
Unit Cost Total Cost Acquired Useful Life

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Received from: Received by:

RONIE E. SENARILLOS _____________________________________

Signature Over Printed Name Signature Over Printed Name
Supply Officer ________________________
Position/Office Position/Office
__________________________________ ______________________________
Date Date

149