INVENTORY AND INSPECTION REPORT OF UNSERV

Entity Name:

(Name of the Accountable Officer) (Designation)

INVENTORY
Accumu
/ Prope lated Carrying
Date Acquired Particulars Accumulated Impair
rty Qty. Unit Cost Depreciation
Articles No. ment Amount
Losses
(1)

I HEREBY request inspection and disposition, pursuant to Section 79 of PD 1445, of the property enumerated above.

Requested by: Approve by:

(Signature over Printed Name of Accountable (Signature over Printed Name of Authorized Official)
Officer)
(Designation of Accountable Officer) (Designation of Authorized Official)
RY AND INSPECTION REPORT OF UNSERVICEABLE PROPERTY

Fund Cluster:

(Designation) (Station)

INSPECTION and DISPOSAL

DISPOSAL

Remarks Others Appraised Value

Sale Transfer Destruction (Specify) Total

D 1445, of the property enumerated above.

I CERTIFY that I have inspected each and I CERTIFY that I have witnessed th
every article enumerated in this report, and disposition of the articles enumerated
that the disposition made thereof was, in my report the ___ day of _____, ____.
judgement, the best for the public interest

Requested by: Approve by:

(Signature over Printed Name of Accountable (Signature over Printed Name of Aut
Printed Name of Authorized Official) Officer) Official)
ation of Authorized Official) (Designation of Accountable Officer) (Designation of Authorized Offic
 Appendix 74

OSAL
RECORD OF SALES

OR no. Amount

CERTIFY that I have witnessed the

osition of the articles enumerated on this
rt the ___ day of _____, ____.

gnature over Printed Name of Authorized

Official)
(Designation of Authorized Official)