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ANNEX A

ASSET TRANSFER FORM


Date Prepared 01-15-2024 Date of Transfer 01-15-2024
Originating Area CEBU CITY Destination Area CEBU CITY
Cost Center Cost Center

Asset Transfer Reference Number

A. ITEM DETAILS
Item Description / Equipment
Description / Plate Number/Asset
Number
Make / Model LENOVO THINKCENTER PC || ECM POWERCOM
Item / Equipment Code
Serial Number
Quantity 1 -SET LENOVO COMPUTER // 1 UPS ECM
Accountable Person
Type of Transfer X Permanent Temporary
Temporary Tranfer Period 01-15-2024
Start Date ______________ End Date _________________
Reason For Transfer
EMPLOYEE RESIGNED

Prepared by | Date Endorsed by | Date Approved by | Date


LHOIE JAY WENCSLAO LHOIE JAY WENCESLAO

01-15-2024 01-15-2024

B. RECEIVING REPORT

I certify that the items listed above were received in complete and good condition.

ANALYN C. CUBUAN SMILSI - PPFB VISAYAS 01-15-2024


Received by Area Name/Cost Center Date

C. FINANCE DEPARTMENT
Prepared by | Date Note SAP Reference Number

D. FOR RETURN OF ASSETS TEMPORARILY TRANSFERRED


Returned by | Date Received by | Date Return Reference Number
LHOIE JAY WENCESLAO
ANALYN CUBIAN | 01-15-2024
01-15-2024

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