WASTE MATERIALS REPORT

Entity Name : City Schools Division of Laoag Fund Cluster : ___________________

Place of Storage : CATABAN ELEMENTARY SCHOOL Date :
ITEMS FOR DISPOSAL
Record of Sales
Item Quantity Unit Description Official Receipt
No. Date Amount
1 10 pcs. GI Sheet Rib
2 43 pcs. GI Sheet 7 ft
3 69 pcs. GI Sheet 10 ft
7987953 August 24,2022
4 8 pcs. GI Sheet 8 ft
5 30 pcs. GI Sheet 12 ft
6 11 pcs. Cabalyete
Php 4,500.00
Certified Correct :

RIZAL J. DOMINGO VICTORIA E. RUIZ

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 / Destroyed
Item / Sold at private sale
Item / Sold at public auction
Item________Transferred without cost to __(Name of the Agency/Entity)__

Certified Correct:

WILLIE M. CABELLO ROSEMARIE N. MADAMBA

Signature over Printed Name of Inspection Officer Signature over Printed Name of Witness