Republic of the Philippines

CARAGA Region
PROVINCE OF SURIGAO DEL NORTE
Surigao City

Office of the Provincial Accountant

Inventory Costudian Slip

Inventory Costudian Slip Control No. ICS- -08- Date:
(Office code) (Series No.)

Inventory Estimated
Quantity Unit Description Amount
Item No. Useful Life

1 pc. Stapler with remover P 110.00

1 unit Calculator P 388.00
1 pc. Puncher P 124.16
x-x-x-x-x

(Note: Transfer of properties)

Received by: Received from:

CHARLIE C. DECHOS MA. ISABEL M. EGUNA

Signature Over Printed Name Signature Over Printed Name

Fiscal Examiner I/ Provincial Treasurer's Office Accountant II / Provincial Accountant's Office

Position/Office Position/Office

Date Date

Instruction:
To be prepared by Office concerned in four (4) copies
Original Copy : To be filed by Office concerned

Duplicate Copy: To be attached to Disbursement Voucher and marked copy on file by Provincial General Services Office
Third Copy : To be filed by end-user
Fourth Copy : To be filed by Provincial General Services Office
 WASTE MATERIALS REPORT
Province of Surigao del Norte

Place of Storage Number: WMR-08-__________

PGSO

ITEMS FOR DISPOSAL Date:

Unit of RECORD OF SALES
ITEM QTY. DESCRIPTION
Issue O.R. No. Amount
1 1 pc. Stapler, heavy duty P 92.23

TOTAL > P 92.23

Certified Correct: Disposal Approved:

JOANNA MAE B. DICO SOL F. MATUGAS

Prov'l.General Services Officer - OIC Provincial Governor

CERTIFICATE OF INSPECTION

I hereby certify that the property enumerated above was disposed of as follow:

Item Destroyed
Item Sold at private sale
Item Sold at public auction
Item Transferred without cost to

Property Inspector: Witness to

(Name and Signature) Provincial Auditor

 ACKNOWLEDGEMENT RECEIPT FOR EQUIPMENT
Province of Surigao del Norte

Provincial General Services Office

Unit of
ITEM QTY. DESCRIPTION Amount Property No.
Issue

1 2 units Submersible Pump 25,000.00

Specifications:
2 hp; max flow : 600I/min.; max head
15m; 16Hz; RPM 3450; wattage 1460;
Single phase;max depth of 8 meters;
for dirty water
2 1 roll Duct Hose 2" x 100m 5,000.00

Received from: Received by:

JOANNA MAE B. DICO MARLON U. STA. IGLESIA

Signature Over Printed Name Signature Over Printed Name

OIC-PGSO Admin. Aide I

Position/Office Position/Office

Date Date

Instruction:
To be prepared by Office concerned in four (4) copies
Original Copy : To be filed by Office concerned

Duplicate Copy: To be attached to Disbursement Voucher and marked copy on file by Provincial General Services Office
Third Copy : To be filed by end-user
Fourth Copy : To be filed by Provincial General Services Office
 Republic of the Philippines
CARAGA Region
PROVINCE OF SURIGAO DEL NORTE
Surigao City

Office of the Provincial ___Treasurer___

Inventory Costudian Slip

Inventory Costudian Slip Control N ICS- -08- Date: October 5, 2009
(Office code) (Series
No.)

Inventory Estimated
Quantity Unit Description Amount
Item No. Useful Life
1 pc. A Data 4 GB Pendrive P 1,100.00 11/24/08-Supplies
(USB Flash Drive)

Received by: Received from:

DAISY D. HUBILLA
Signature Over Printed Name Signature Over Printed Name

Provincial Treasurer
Position/Office Position/Office

Date Date

Instruction:
To be prepared by Office concerned in four (4) copies
Original Copy : To be filed by Office concerned
Duplicate Copy: To be attached to Disbursement Voucher and marked copy on file by Provincial General Services Office
Third Copy : To be filed by end-user
Fourth Copy : To be filed by Provincial General Services Office
 Republic of the Philippines
CARAGA Region
PROVINCE OF SURIGAO DEL NORTE
Surigao City

Office of the Provincial ___ Treasurer___

Inventory Costudian Slip

Inventory Costudian Slip Control N ICS- -08- Date: 4-Dec-09
(Office code) (Series
No.)
Inventory Estimated
Quantity Unit Description Amount
Item No. Useful Life Date Acquired

1 unit Vacum Cleaner (Heavy Duty) 3D P 5,904.00 12/4/2009

1200W
1 unit Floor Polisher (Heavy Duty) 3D 6,548.00
2304-60hz 1.60w ###
x-x-x-x-x

Received by: Received from:

DAISY E. DESOLOC DAISY D. HUBILLA

Signature Over Printed Name Signature Over Printed Name

Administrative Officer I Provincial Treasurer

Position/Office Position/Office

4-Dec-09 4-Dec-09
Date Date

Instruction:
To be prepared by Office concerned in four (4) copies
Original Copy : To be filed by Office concerned
Duplicate Copy: To be attached to Disbursement Voucher and marked copy on file by Provincial General Services Office
Third Copy : To be filed by end-user
 Fourth Copy : To be filed by Provincial General Services Office

Republic of the Philippines

CARAGA Region
PROVINCE OF SURIGAO DEL NORTE
Surigao City

Office of the Provincial Treasurer

Inventory Costudian Slip

Inventory Costudian Slip Control N ICS- -08- Date: February 15, 2011
(Office code) (Series
No.)

Inventory Estimated
Quantity Unit Description Amount
Item No. Useful Life Date Acquired
1 pc. USB to Parallel Cable P 1,600.00 2/15/11
x-x-x-x-x

Received by: Received from:

MARY JELYN E. EVIOTA TERESITA R. AJOC

Signature Over Printed Name Signature Over Printed Name

Revenue Collection Clerk I Asst. Prov'l. General Services Officer - OIC

Position/Office Position/Office

15-Feb-11 15-Feb-11
Date Date

Instruction:
To be prepared by Office concerned in four (4) copies
Original Copy : To be filed by Office concerned
Duplicate Copy: To be attached to Disbursement Voucher and marked copy on file by Provincial General Services Office
 Third Copy : To be filed by end-user
Fourth Copy : To be filed by Provincial General Services Office

Republic of the Philippines

CARAGA Region
PROVINCE OF SURIGAO DEL NORTE
Surigao City

Office of the Provincial Treasurer

Inventory Costudian Slip

Inventory Costudian Slip Control N ICS- -08- Date: April 1, 2011

Inventory Estimated
Quantity Unit Description Amount
Item No. Useful Life Date Acquired
2 pcs. Cutter P 110.00 4/1/2011
1 " Scissor 48.00 4/1/2011
1 " Stop Watch 810.00 4/1/2011
x-x-x-x-x P 968.00

Received by: Received from:

ROSEMARIE E. LETIM TERESITA R. AJOC

Signature Over Printed Name Signature Over Printed Name

Local Revenue Collection Officer II Asst. Prov'l. General Services Officer - OIC
Position/Office Position/Office

1-Apr-11 1-Apr-11
Date Date

Instruction:
To be prepared by Office concerned in four (4) copies
 Original Copy : To be filed by Office concerned
Duplicate Copy: To be attached to Disbursement Voucher and marked copy on file by Provincial General Services Office
Third Copy : To be filed by end-user
Fourth Copy : To be filed by Provincial General Services Office

Republic of the Philippines

CARAGA Region
PROVINCE OF SURIGAO DEL NORTE
Surigao City

Office of the Provincial Treasurer

Inventory Costudian Slip

Inventory Costudian Slip Control N ICS- -08- Date: November 24, 2011
(Office code) (Series
No.)

Inventory Estimated
Quantity Unit Description Amount
Item No. Useful Life Date Acquired
1 pc. 2 Hole Punch Perforator - Heavy Duty P P 570.00 -C.Bonite
6/5/03-N.Sanchez
x-x-x-x-x

NOTE:
This cancels Memorandum Receipt dated 11/16/05
of Ms. Concepcion T. Bonite, Cashier IIII, PTO-SDN.

Received by: Received from:

GLORIA T. GERASMIO TERESITA R. AJOC

Signature Over Printed Name Signature Over Printed Name

Labor & Employment Asst. Asst. Prov'l. General Services Officer - OIC
Position/Office Position/Office

24-Nov-11 24-Nov-11
Date Date
Instruction:
To be prepared by Office concerned in four (4) copies
Original Copy : To be filed by Office concerned
Duplicate Copy: To be attached to Disbursement Voucher and marked copy on file by Provincial General Services Office
Third Copy : To be filed by end-user
Fourth Copy : To be filed by Provincial General Services Office

Republic of the Philippines

CARAGA Region
PROVINCE OF SURIGAO DEL NORTE
Surigao City

Office of the Provincial Treasurer

Inventory Costudian Slip

Inventory Costudian Slip Control N ICS- -08- Date: November 24, 2011
(Office code) (Series
No.)

Inventory Estimated
Quantity Unit Description Amount
Item No. Useful Life Date Acquired
1 pc. Stapler Max P P 195.00 11/27/00-C.Bonite
x-x-x-x-x

NOTE:
This cancels Memorandum Receipt dated 11/27/00 (Inv. of Equip. 2009)
of Ms. Concepcion T. Bonite, Cashier IIII, PTO-SDN.

Received by: Received from:

CARMENCITA A. ORTIZ TERESITA R. AJOC

Signature Over Printed Name Signature Over Printed Name

Administrative Aide IV Asst. Prov'l. General Services Officer - OIC

Position/Office Position/Office
 24-Nov-11 24-Nov-11
Date Date

Instruction:
To be prepared by Office concerned in four (4) copies
Original Copy : To be filed by Office concerned
Duplicate Copy: To be attached to Disbursement Voucher and marked copy on file by Provincial General Services Office
Third Copy : To be filed by end-user
Fourth Copy : To be filed by Provincial General Services Office
 WASTE MATERIALS REPORT
Province of Surigao del Norte
Place of Storage Number: WMR-08-__________
PGSO

ITEMS FOR DISPOSAL Date:

Unit of RECORD OF SALES
ITEM QTY. DESCRIPTION
Issue O.R. No. Amount
1 unit Aircon National 1.5 Hp P 16,117.00 9/6/96-D.Hubilla
CW-1808 VPH Serial No. 080207620
1 " Aircon National 1.5 Hp 22,900.00 9/24/97-L.Guira
CW-2403 SpH Serial No. 772303430
1 " Computer Unit (IBM) 40,900.00 10/12/01-B.Jumawa
Net Vista A 401 (2284-21Q)
x-x-x-x-x

TOTAL > P 79,917.00

Certified Correct: Disposal Approved:

BOB T. EDERA ROBERT ACE S. BARBERS

Asst. Prov'l.General Services Officer - OIC Provincial Governor

CERTIFICATE OF INSPECTION

I hereby certify that the property enumerated above was disposed of as follow:

Item xxx Destroyed

Item Sold at private sale
Item Sold at public auction
Item Transferred without cost to

Property Inspector: Witness to

JOSEPH S. VENUS
(Name and Signature) Provincial Auditor
 WASTE MATERIALS REPORT
Province of Surigao del Norte
Place of Storage Number: WMR-08-__________
PGSO

ITEMS FOR DISPOSAL Date:

Unit of RECORD OF SALES
ITEM QTY. DESCRIPTION
Issue O.R. No. Amount
2 pcs. Narra Chairs (Swivel)
2 " Narra Chairs
1 " Leatherette Chair (Swivel)
2 " Ordinary Chair
1 " Computer Chair
1 " Typewriting Table
x-x-x-x-x

TOTAL > P -
Certified Correct: Disposal Approved:

BOB T. EDERA ROBERT ACE S. BARBERS

Asst. Prov'l.General Services Officer - OIC Provincial Governor

CERTIFICATE OF INSPECTION

I hereby certify that the property enumerated above was disposed of as follow:

Item xxx Destroyed

Item Sold at private sale
Item Sold at public auction
Item Transferred without cost to

Property Inspector: Witness to

JOSEPH S. VENUS
(Name and Signature) Provincial Auditor
 WASTE MATERIALS REPORT
Province of Surigao del Norte
Place of Storage Number: WMR-08-__________
PGSO

ITEMS FOR DISPOSAL Date:

Unit of RECORD OF SALES
ITEM QTY. DESCRIPTION
Issue O.R. No. Amount
1 pc. Computer Printer Epson LQ-2180 P 35,000.00
BEBY 010790

x-x-x-x-x

TOTAL > P 35,000.00

Certified Correct: Disposal Approved:

BOB T. EDERA ROBERT ACE S. BARBERS

Asst. Prov'l.General Services Officer - OIC Provincial Governor

CERTIFICATE OF INSPECTION

I hereby certify that the property enumerated above was disposed of as follow:

Item xxx Destroyed

Item Sold at private sale
Item Sold at public auction
Item Transferred without cost to

Property Inspector: Witness to

JOSEPH S. VENUS
(Name and Signature) Provincial Auditor
 WASTE MATERIALS REPORT
Province of Surigao del Norte
Place of Storage Number: WMR-08-__________
PGSO

ITEMS FOR DISPOSAL Date: 10-5-2011

Unit of RECORD OF SALES
ITEM QTY. DESCRIPTION
Issue O.R. No. Amount
1 pc. 2 Hole Punch Perforator - Heavy Duty P 104.30 6/5/03-C.T.Bonite
1 " Casio Electronic Calculator 570.00 11/8/05-C.T.Bonite
MS-470 LB-W 14 Digits
1 " Stapler Max 195.00 11/27/00-C.T.Bonite
x-x-x-x-x

TOTAL > P 869.30

Certified Correct: Disposal Approved:

TERESITA R. AJOC SOL F. MATUGAS

Asst. Prov'l.General Services Officer - OIC Provincial Governor

CERTIFICATE OF INSPECTION

I hereby certify that the property enumerated above was disposed of as follow:

Item xxx Destroyed

Item Sold at private sale
Item Sold at public auction
Item Transferred without cost to

Property Inspector: Witness to

JOSEPH S. VENUS
(Name and Signature) Provincial Auditor
/96-D.Hubilla

4/97-L.Guira

12/01-B.Jumawan
/03-C.T.Bonite
8/05-C.T.Bonite

27/00-C.T.Bonite