Republic of the Philippines

PROVINCE OF XXXXXXXXXXX
XXXXXXXXXXXX City

PROPERTY RETURN SLIP

No. _______________

Purpose:( ) Disposal ( ) Repair ( ) Return to Stock ( ) Others ___________

Property FPP/Acct Date Name of End-User/
Qty Unit Description Number Code Acquired Office of Origin Unit Value Total Value

1 unit COMPUTER LAPTOP Php 43,500.00 Php 43,500.00

Specifications:

With Serial No:

TOTAL --------------------------------------------------- Php 43,500.00

CERTIFICATION

I HEREBY CERTIFY that I have this xxxxxxxxxxxxxxx I HEREBY CERTIFY that I have this xxxxxxxxxxxxxxxxxxxxxx
RETURNED to xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx RECEIVED from xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
the items/articles described above. items/articles described above.

xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxx
Provincial Treasurer Provincial General Service Officer