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Republic of the Philippines Republic of the Philippines Republic of the Philippines Republic of the Philippines Republic of the Philippines

DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION
NEGROS ISLAND REGION NEGROS ISLAND REGION NEGROS ISLAND REGION NEGROS ISLAND REGION NEGROS ISLAND REGION
DIVISION OF NEGROS OCCIDENTAL DIVISION OF NEGROS OCCIDENTAL DIVISION OF NEGROS OCCIDENTAL DIVISION OF NEGROS OCCIDENTAL DIVISION OF NEGROS OCCIDENTAL
JGNHS-PINGGOT ANNEX JGNHS-PINGGOT ANNEX JGNHS-PINGGOT ANNEX JGNHS-PINGGOT ANNEX JGNHS-PINGGOT ANNEX
BORROWER SLIP BORROWER SLIP BORROWER SLIP BORROWER SLIP BORROWER SLIP

BORROWERS' NAME: BORROWERS' NAME: BORROWERS' NAME: BORROWERS' NAME: BORROWERS' NAME:

BORROWED ITEM/S BORROWED ITEM/S BORROWED ITEM/S BORROWED ITEM/S BORROWED ITEM/S

DATE BORROWED DATE BORROWED DATE BORROWED DATE BORROWED DATE BORROWED

DATE RETURNED DATE RETURNED DATE RETURNED DATE RETURNED DATE RETURNED

QUARANTED ITEM/S QUARANTED ITEM/S QUARANTED ITEM/S QUARANTED ITEM/S QUARANTED ITEM/S

CUSTODIAN SIGNATURE CUSTODIAN SIGNATURE CUSTODIAN SIGNATURE CUSTODIAN SIGNATURE CUSTODIAN SIGNATURE

Republic of the Philippines Republic of the Philippines Republic of the Philippines Republic of the Philippines Republic of the Philippines
DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION
NEGROS ISLAND REGION NEGROS ISLAND REGION NEGROS ISLAND REGION NEGROS ISLAND REGION NEGROS ISLAND REGION
DIVISION OF NEGROS OCCIDENTAL DIVISION OF NEGROS OCCIDENTAL DIVISION OF NEGROS OCCIDENTAL DIVISION OF NEGROS OCCIDENTAL DIVISION OF NEGROS OCCIDENTAL
JGNHS-PINGGOT ANNEX JGNHS-PINGGOT ANNEX JGNHS-PINGGOT ANNEX JGNHS-PINGGOT ANNEX JGNHS-PINGGOT ANNEX
BORROWER SLIP BORROWER SLIP BORROWER SLIP BORROWER SLIP BORROWER SLIP

BORROWERS' NAME: BORROWERS' NAME: BORROWERS' NAME: BORROWERS' NAME: BORROWERS' NAME:

BORROWED ITEM/S BORROWED ITEM/S BORROWED ITEM/S BORROWED ITEM/S BORROWED ITEM/S

DATE BORROWED DATE BORROWED DATE BORROWED DATE BORROWED DATE BORROWED

DATE RETURNED DATE RETURNED DATE RETURNED DATE RETURNED DATE RETURNED

QUARANTED ITEM/S QUARANTED ITEM/S QUARANTED ITEM/S QUARANTED ITEM/S QUARANTED ITEM/S

CUSTODIAN SIGNATURE CUSTODIAN SIGNATURE CUSTODIAN SIGNATURE CUSTODIAN SIGNATURE CUSTODIAN SIGNATURE

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