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REPORT ON THE PHYSICAL COUNT OF IN

_______________________________
(Type of Inventory Item)

As at ________________________

Fund Cluster : ________________________________

For which ___(Name of Accountable Officer)_________, _ (Official Designation)___, __________(Entity Name)______________ is accountable, h

Unit of
Article Description Stock Number Unit Value Balance Per Card
Measure
(Quantity)
163
Certified Correct by: Approved by:

________________________________
Signature over Printed Name of Inventory Signature over Printed Name of Head of A
Committee Chair and Members Authorized Representative
Appendix 66
SICAL COUNT OF INVENTORIES
_____________________
pe of Inventory Item)

_____________________

____________ is accountable, having assumed such accountability on ___(Date of Assumption)____.

On Hand Per Shortage/Overage


Count Remarks
(Quantity) Quantity Value
Verified by:

_______________________________
e over Printed Name of Head of Agency/Entity or Signature over Printed Name of COA Representative
Authorized Representative
NO. COLUMN HEADER numberDESCRIPTION
assigned by your
1 PROPERTY NO. office to the asset.
2 ARTICLE Itemized
name list of assets.
or company that
3 MANUFACTURER produces the
assigned by the asset.
4 SERIAL NO. manufacturer.
Type and RAM capacity for
5 SPECIFICATION computers.
Itemized list of fund source
6 SOURCE OF FUND for acquiring
Contains the of
the cost asset.
7 AMOUNT acquisition
Contains the date ofasset.
for the
8 DATE OF ACQUISITION acquisition
accountablefor the assigned
officer asset.
9 ACCOUNTABLE PERSONNEL with the asset.
accountable personnel
10 POSITION assigned with
asset at the theofasset.
time this
11 LOCATION OF PROPERTY inventory.
Itemized list of assets'
12 CONDITION condition
necessary levels.
for more clarity
13 REMARKS and understanding.

NOTE: For clarifications and queries, you may contact us through mobile: 0925-820-3776 , phone: (043)-286-7810 or email:
in theINFORMATION
property tag orGUIDE
in the images on locating REMARKS
this particular
physical inventory masterlist.
a separate article or item in the
information.
Windows OS, and MS Office. If asset is
list.
produces the asset. Example: not in the
cables), list,
you mayplease include
put 'Not it also.
Known' in this
ACER, HP, IBM, etc.
sometimes under the battery field.
images on locating this particular
slot
property settings or in the help information.
for laptop computers. images on locating this particular
tab
Donated, Asset is Leased, or Not information.
menu. office, what's the main purpose of it,
Known.
office etc. under the Guide for Estimating
inventory list, or any other Guide
relevant document.
list, or any other relevant Acquisition
'Acquisitioncost.
Date Not Known' in the
document.
(MR) or the Acknowledgment Remarks column.
Accountable Officer Assigned' in this
Receipt of Equipment.
of the accountable personnel field.
for the asset, you may put 'Not
assigned with the asset.
Principal's Office, Library, Applicable' in this field.
Computer
Not working Laboratory, etc. and Identification User Guide for more
but repairable,
Beyond economic
fields and/or whichrepair.
are not detail on this particular
Identification User Guideinformation.
for examples
covered in this template. on this particular information.

0925-820-3776 , phone: (043)-286-7810 or email: ito.depedormindoro@gmail.com.

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