Annex 21

INVENTORY CUSTODIAN SLIP

SK of Barangay: ICS No.:
City/Municipality: Date:
Province:
Amount
Unit of
Quantity Unit Total Item Description Stock No.
Measurement
Cost Cost

Received by: Issued by:

__________________________________ _________________________________
Signature over Printed Name and Signature over Printed Name
Designation of Recipient/End-User SK Treasurer

_________________ _________________
Date Date