Appendix 65

REPORT ON THE PHYSICAL COUNT OF BUILDINGS AND STRUCTURES

As at ______________________

For which __(Name of Accountable Officer) , (Official Designation) , (LGU name) , is accountable, having assumed such accountability on
(Date of Assumption) .

Building/ Structure Component Property

Location Component Carrying Amount Condition Remarks
ID No. No.

CERTIFIED CORRECT BY: VERIFIED BY:

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Inventory Committee Chair and Members Local Chief Executive/Authorized Representative COA Representative