Republic of the Philippines MM-003-1

MM-003-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIALS MANAGEMENT SECTION

PROPERTY ACKNOWLEDGMENT RECEIPT
Fund Cluster:REGULAR AGENCY FUND PAR No.: 2017-03-0036
Property Date
Quantity Unit Description Amount
Number Acquired

1 UNIT ROLLER STRETCHER 03-2017-032 3/10/2017 177,400.00

ALUMINUM FRAME/POWDER-COATED FRAME
CRANK OPERATED HI-LO ADJUSTMENT
HOLDER FOR OXYGEN CYLINDER
FOLD DOWN SAFETY BEDSIDE RAILS
IV HANGER ROD(4 CORNERS)
150MM DIA TENTE CENTRAL LOCKING CASTERS
MATTRES: POLYURETHANE FOAM COVERED W/ VYNIL
OVERALL DIMENSIONS: L 1950-217MM
W 750-900MM
H 550-820MM
1 YEAR SERVICE WARRANTY (W/ REPLACEMENT OF DAMAGE PARTS C/O SUPPLIER)
***********************************

Remarks:
FOR USE OF CVMC= OPD

Received by: Issued by:

JEFFREY DELA CRUZ HAROLD TAMAYAO

Signatue over Printed Name Signatue over Printed Name

NURSE II Administrative Officer III- OIC MMS

Position/Office Position/Office

March 10, 2017 March 10, 2017

Date Date
 Republic of the Philippines MM-004-0
MM-004-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIALS MANAGEMENT SECTION

INVENTORY CUSTODIAN SLIP
Fund Cluster : ICS No :CY 2017-00210
Amount
Estimated
Quantity Unit Description Inventory Item No.
Unit Cost Total Cost Useful Life

5 PC WHEELCHAIR 2017-220A-220E-IC 2 YEARS

**********************************
DOH DONATION

Remarks:
FOR USE OF CVMC = PEDIA WARD

Received by: Received from:

HAROLD TAMAYAO
Signature Over Printed Name Signature Over Printed Name

NURSE II Administrative Officer III-OIC MMS

Position/Office Position/Office

July 10, 2017 July 10, 2017

Date Date
15 70
19 37
20 57
17 70
2 69
12 75
85 75
55
75
60
61
82
78
80
75
81
94
69
65
98
90
74
83
105
80
90
46
56
75
91
80
77
78
99
60
82
80
89
60
90
30
95
120
190
130
 41
60
63
151
70
72
60
39
120
100
121
80
69
32
100
61
60
105
80
30
118
45
75
75
31
85
65
5584