PROPERTY RETURN SLIP

Name of Agency: DINADIAWAN NHS

Purpose ( ) Disposal ( ) Repair ( ) ( / ) Returned to Stock Other:

QTY Unit Description Property Number PAR No. Name of End-User Unit Value Total Value

TOTAL……………… ₱ -

CERTIFICATION
I HEREBY CERTIFY that I have this 5TH day of I HEREBY CERTIFY that I have this 5TH day of SEPTEMBER

SEPTEMBER,2023 _______ RETURNED to: 2023 ________ RECEIVED from:

MARK GIL BAYUDANG ALBERT RYAN M. CORTEZ

TEACHER 1 JHS PROPERTY CUSTODIAN
(Name and Designation) (Name and Designation)

the item/articles described above. the item/articles described above.

 PROPERTY RETURN SLIP

Name of Agency: SDO AUROA

Purpose ( ) Disposal ( ) Repair ( ) Returned to Stock Other:

Property
QTY Unit Description PAR No. Name of End-User Unit Value Total Value
Number
unit Monitor ICS-2020-02-51 Lianne N. Quiben ₱ -
1

Model: HP V194 Monitor ₱ -

SN: 3CQ61626NS ₱ -

PN: V5E94-60007 ₱ -

Unit Desktop with Keyboard Mouse ₱ -

1

Wireless LAN ₱ -

Model: HP 285G2 ₱ -

SN: SGH630R470 ₱ -

PN: Y5Y54PC#A2K ₱ -

pcs Red Eagle Archfile (Legal) ICS-2020-02-47 ₱ 149.00 ₱ 447.00

3

Unit Printing (Brother DCP-T710W ₱ 9,950.00 ₱ 9,950.00

1

SN: E7866CHH342798 ₱ -

pcs Storage Box 2018-030-06 ₱ 350.00 ₱ 700.00

2

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

TOTAL……………… ₱ 11,097.00

CERTIFICATION
I HEREBY CERTIFY that I have this 13th day of I HEREBY CERTIFY that I have this 13th day of

August ,2020 RETURNED to: August , 2020 RECEIVED from:

HANZEL C. BIHASA LIANNE N. QUIBEN

Administrative Officer IV/Supply Officer Administrative Assistant III
(Name and Designation) (Name and Designation)

the item/articles described above. the item/articles described above.

 PROPERTY RETURN SLIP

Name of Agency: SDO AUROA

Purpose ( ) Disposal ( ) Repai( ) Returned to Stock Other:

Property
QTY Unit Description PAR No. Name of End-User Unit Value Total Value
Number
pcs Red Eagle Archfile (Legal) ICS-2020-02-52 Jennifer D. Buencamino ₱ 149.00 ₱ 447.00
3

unit Brother DCP-T710W ₱ 9,950.00 ₱ 9,950.00

1

SN: E78669J9H219223 ₱ -

pcs Storage Box ICS-2018-025-06 ₱ 350.00 ₱ 700.00

2

Unit UPS APC Battery Back UP ₱ 4,975.00 ₱ 4,975.00

1

Model: BX650LI-MS ₱ -

SN: 981713A06890 ICS-2018-003-05 ₱ -

pc Calculator ₱ -
1

pc Joy Puncher ₱ -
1

pc Scissor ₱ -
1

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

TOTAL……………… ₱ 16,072.00

CERTIFICATION
I HEREBY CERTIFY that I have this 13th day of I HEREBY CERTIFY that I have this 13th day of

August ,2020 RETURNED to: August , 2020 RECEIVED from:

HANZEL C. BIHASA JENNIFER D. BUENCAMINO

Administrative Officer IV/Supply Officer Administrative Assistant III
(Name and Designation) (Name and Designation)

the item/articles described above. the item/articles described above.

 PROPERTY RETURN SLIP

Name of Agency: SDO AUROA

Purpose ( ) Disposal ( ) Repai( ) Returned to Stock Other:

Property
QTY Unit Description PAR No. Name of End-User Unit Value Total Value
Number
pcs Red Eagle Archfile (Legal) ICS-2020-02-52 CIRILO F. CAMUS ₱ 149.00 ₱ 447.00
3

pcs Storage Box 2018-041-06 ₱ 350.00 ₱ 700.00

2

set Desktop Computer ₱ -

1

pc UPS APC Battery Back Up ₱ 4,975.00 ₱ 4,975.00

1

pc Office Table ₱ 8,500.00 ₱ 8,500.00

1

pc Office Chair ₱ -
1

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

TOTAL……………… ₱ 14,622.00

CERTIFICATION
I HEREBY CERTIFY that I have this 13th day of I HEREBY CERTIFY that I have this 13th day of

August ,2020 RETURNED to: August , 2020 RECEIVED from:

HANZEL C. BIHASA CIRILO F. MACAMUS Jr.

Administrative Officer IV/Supply Officer Administrative Assistant III
(Name and Designation) (Name and Designation)

the item/articles described above. the item/articles described above.

 PROPERTY RETURN SLIP

Name of Agency: SDO AUROA

Purpose ( ) Disposal ( ) Repai( ) Returned to Stock Other:

Property
QTY Unit Description PAR No. Name of End-User Unit Value Total Value
Number
pcs Storage Box 2018-042-06 Ma. Liza B. Millan ₱ 350.00 ₱ 700.00
2

Unit Multi Function Printer 2018-012-05 ₱ 7,450.00 ₱ 7,450.00

1

Model:Cannon PIXMA MG25705 ₱ -

Steel Cabinet with lock and slot on

pcs ICS-2017-11-018 ₱ 13,999.00 ₱ 27,998.00
2 each drawer
Size: 43"x28"x69" ₱ -

Color: Gray (beige) ₱ -

unit Printer ICS-2017-07-002 ₱ 10,750.00 ₱ 10,750.00

1

Model: DCP-T700W/Brother ₱ -

SN: E74708L6H922777 ₱ -

PN: 8CAS3900121 ₱ -

Unit Ultrathin keyboard DS-803 ICS-2020-7-009 ₱ 900.00 ₱ 900.00

1

Unit Laptop Lenovo 330-15-8250U 2020-08-007 ₱ 37,000.00 ₱ 37,000.00

1

4G DDR4 2133 on board 1TB ₱ -

7mm 5400rpm ₱ -

SN: PF1PRTP2 ₱ -

pc Steel Cabinet with Lock 4 drawers ₱ 14,500.00 ₱ 14,500.00

1

pc Wooden Table ₱ 9,900.00 ₱ 9,900.00

1

pc Executive Chair ₱ 5,000.00 ₱ 5,000.00

1

pcs Box Filer ₱ 155.48 ₱ 310.96

2

Unit Cannon Multi Function Printer ₱ 5,500.00 ₱ 5,500.00

1
SN:
₱ -
(91)0700c12(92)AA(21)KJV83433
TOTAL……………… ₱ 120,008.96

CERTIFICATION
I HEREBY CERTIFY that I have this 13th day of I HEREBY CERTIFY that I have this 13th day of

August ,2020 RETURNED to: August , 2020 RECEIVED from:

HANZEL C. BIHASA MA. LIZA B. MILLAN

Administrative Officer IV/Supply Officer Administrative Assistant III
(Name and Designation) (Name and Designation)

the item/articles described above. the item/articles described above.

 PROPERTY RETURN SLIP

Name of Agency: SDO AUROA

Purpose ( ) Disposal ( ) Repai( ) Returned to Stock Other:

Property
QTY Unit Description PAR No. Name of End-User Unit Value Total Value
Number
unit PC LENOVO Milagros L. Glemao ₱ -
1

Model: IDEACENTRE A340-221WL ₱ -

SN: MP1FJALY ₱ -

pc Mouse ₱ -
1

pc Keyboard ₱ -
1

pc mousepad ₱ -
1

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

TOTAL……………… ₱ -

CERTIFICATION
I HEREBY CERTIFY that I have this 13th day of I HEREBY CERTIFY that I have this 13th day of

August ,2020 RETURNED to: August , 2020 RECEIVED from:

HANZEL C. BIHASA MILAGROS L. GLEMAO

Administrative Officer IV/Supply Officer Administrative Assistant III
(Name and Designation) (Name and Designation)

the item/articles described above. the item/articles described above.

 PROPERTY RETURN SLIP

Name of Agency: SDO AUROA

Purpose ( ) Disposal ( ) Repai( ) Returned to Stock Other:

Property
QTY Unit Description PAR No. Name of End-User Unit Value Total Value
Number
set Desktop w/ Computer Table Ma. Liza B. Millan ₱ 14,900.00 ₱ 14,900.00
1

monitor SN: 3CQ61626N5 ₱ -

CPU SN: SGH630R46X ₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

₱ -

TOTAL……………… ₱ 14,900.00

CERTIFICATION
I HEREBY CERTIFY that I have this 13th day of I HEREBY CERTIFY that I have this 13th day of

August ,2020 RETURNED to: August , 2020 RECEIVED from:

HANZEL C. BIHASA MA. LIZA B. MILLAN

Administrative Officer IV/Supply Officer Administrative Assistant III
(Name and Designation) (Name and Designation)

the item/articles described above. the item/articles described above.