INVENTORY AND INSPECTION REPORT OF UNSERVICEABLE SEMI-EXPENDABLE PROPERTY

As at
Entity Name: _______________________________________ Fund Cluster : _____________________
____________________________________________
(Name of Accountable Officer) (Designation) (Station)

INVENTORY INSPECTION and DISPOSAL

Accumulated
Property Unit Total Accumulated Carrying Appraised
Date Acquired Particulars/ Articles Qty Impairment Remarks DISPOSAL RECORD OF SALES
No. Cost Cost Depreciation Amount Value
Losses
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18)
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I CERTIFY that I have inspected each and every I CERTIFY that I have
I HEREBY request inspection and disposition, pursuant to Section 79 of PD 1445, of the property enumerated above. article enumerated in this report, and that the witnessed the disposition of the
disposition made thereof was, in my judgment, the best articles enumerated on this report
for the public interest. this ____day of _____________,
_____.

Requested by: Approved by:

(Signature over Printed Name of (Signature over Printed Name of (Signature over Printed Name of Inspection Officer) (Signature over Printed Name of
Accountable Officer) Authorized Official) Witness)

(Designation of Accountable Officer) (Designation of Authorized Official)