Appendix 59

INVENTORY CUSTODIAN SLIP

Entity Name: _________________________________

Fund Cluster : ________________________________ ICS No : ______________
Amount
Inventory Estimated
Quantity Unit Unit Description
Total Cost Item No. Useful Life
Cost

Received from: Received by:

__________________________________
Signature Over Printed Name
__________________________________
Position/Office
__________________________________
Date
______________________________
Signature Over Printed Name
______________________________
Position/Office
______________________________
Date

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