School: SAMPALOC 1 ES Teacher: ROSALIA R.

REMOS

Grade/Section: SIX- ROSE School Year: 2022-2023

INDIVIDUAL CLASSROOM INVENTORY

I hereby certify that the property listed below is actually found in my room properly arranged and in good condition. The said property is
physically checked by the District Property Custodian for safekeeping this summer vacation from April to May, ________.

CLASSIFICATION
(MOOE, Central-Region, LSB,
Quantity Articles/Description Date Acquired Donation, School/Canteen Fund,
PTA, Personal)
1 32 inches ACE TV October 2022 MOOE
2 Mega Box September 2021 MOOE
1 Printer Epson 3110 June 2021 MOOE
1 Trash Can Red June 2021 MOOE
1 Water Dispenser March 2019 MOOE
1 Sound System June 2018 MOOE
2 Teacher's Table March 2014 Central Region
2 Ceiling Fan March 2014 Central Region
2 Blackboard March 2014 Central Region
18 Tables w/ Chairs June 2010 Central Region
2 Stand Fan September 2022 Donation (Arvin T. Rosales)
2 Wall Fan June 2017 Donation HRPTA
1 Projector ACER March 2017 Donation (Msgr. Oscar Leano)
1 Steel Cabinet November 2010 Donation (Central Bank)
1 Temperature Scanner June 2022 Personal
1 Alcohol Spray Machine June 2022 Personal
3 Trash Can Black June 2022 Personal
2 Storage Box June 2019 Personal
2 Dura Box June 2010 Personal
1 Demonstration Table June 2010 Personal
1 Wooden Table June 2010 Personal
1 Plastic Rack June 2010 Personal
1 Book Shelf June 2010 Personal

I personally assume money responsibility from all property which I promise to produce or accounted for when required to do so by higher
authority. I hereby accept full responsibility from all property covered herein and liable for all shortage that may arise in the future.

Prepared by: Checked: Noted:

ROSALIA R. REMOS JUDYLENE Q. VELENA CECILLE J. ALONER

Classroom Teacher School Property Custodian Principal

Certified Correct:

GEORGE D. AGUILA
Division Supply Officer II

Note: Please indicate the exact name where the donated property came from
School: ___________________________

School Year: ______________________

PRINCIPAL’S OFFICE INVENTORY

I hereby certify that the property listed below is actually found in my room properly arranged and in good condition. The said property is
physically checked by the School Property Custodian for safekeeping this summer vacation from April to May, ________.

Date Unit CLASSIFICATION

(MOOE, LSB, Donation,
Quantity Articles/Description Acquired Price PTA, School/Canteen
Fund, Personal)

Note:
 lagi po kumpleto ang information (brand, price,
color, size, etc. kahit po estimate lang lalo na sa
DONATION)
 sa kahulihan po ilista ang mga PERSONAL na
gamit
 Ang DATE po ay from LATEST to PREVIOUS
YEAR kada classification
 SAMPLE FORMAT

I personally assume money responsibility from all property which I promise to produce or accounted for when required to do so by higher
authority. I hereby accept full responsibility from all property covered herein and liable for all shortage that may arise in the future.

Checked: Noted:

________________________ ____________________________
School Property Custodian Principal

Certified Correct:

GEORGE D. AGUILA
Division Supply Officer II

Note: Please indicate the exact name where the donated property came from
School: __________________________

School Year: 2020-2021

MOOE / DOWNLOADING Inventory

Unit Date LOCATION NAME OF

Price Acquired
Quantity Articles/Description IN-CHARGE/RECIPIENT/
END-USER

-
-
-
-
-

Prepared by: Attested:

_______________________ ________________________
School Property Custodian Principal

Certified Correct:

GEORGE D. AGUILA
Division Supply Officer II

School: __________________________

School Year: ____________________

LOCAL SCHOOL BOARD (LSB) Inventory

 Date Acquired
LOCATION NAME OF
Quantity Articles/Description IN-CHARGE/RECIPIENT/
END-USER

Note:
- lagi po kumpleto ang information
- sa ICS or PAR po makikita ang
information reagarding sa gamit
- ANG DATE PO AY FROM LATEST
to PREVIOUS YEAR
- SAMPLE FORMAT

Prepared by: Attested:

_______________________ ________________________
School Property Custodian Principal

Certified Correct:

GEORGE D. AGUILA
Division Supply Officer II

School: __________________________

School Year: ____________________

SCHOOL / CANTEEN FUND Inventory

Date Acquired LOCATION NAME OF

Quantity Articles/Description IN-CHARGE/RECIPIENT/
END-USER
 Note:
- lagi po kumpleto ang information
- sa ICS or PAR po makikita ang
information reagarding sa gamit
- ANG DATE PO AY FROM LATEST
to PREVIOUS YEAR
- Makikita po sa canteen report or
other
- SAMPLE FORMAT

Prepared by: Attested:

_______________________ ________________________
School Property Custodian Principal

Certified Correct:

GEORGE D. AGUILA
Division Supply Officer II

School: __________________________

School Year: ____________________

DONATION Inventory

Unit NAME OF
Date Name of Donor LOCATION IN-CHARGE/RECIPIE
Acquired Price
QTY. Articles/Description NT/
END-USER
 Note:
- lagi po kumpleto ang
information
- sa Adopt-a-School po
makikita ang information
regarding sa gamit atbp.
- kung wala po price, paki-
estimate na lang po

Prepared by: Attested:

_______________________ ________________________
School Property Custodian Principal

Certified Correct:

GEORGE D. AGUILA
Division Supply Officer II

School: _____________________
School year: __________________

ICT / COMPUTER Inventory

CLASSIFICATION
(CENTRAL/REGION,
Quantity Articles/Description Status Location MOOE, LSB,
(good condition, for Donation, PTA,
repair, not repairable) School Fund)
 Note:
Paki-INDICATE po kada isang item
sa DCP Batch, brand na lang
ilagay wag na spec
SAMPLE FORMAT

Prepared by: Checked: Attested:

_______________________ ________________________ _______________________

In-Charge School Property Custodian Principal

Certified Correct:

GEORGE D. AGUILA
Division Supply Officer II

School: _____________________
School year: __________________

SCIENCE and MATH EQUIPMENT Inventory

Date CLASSIFICATION
Quantity Articles/Description Acquired (Regional/Central)

Note:
 PAKI ATTACH na lang po nung
DELIVERY RECEIPT or anything na
natanggap nyo gamit
 +

Prepared by: Checked: Attested:

_______________________ ________________________ _______________________

In-Charge School Property Custodian Principal

Certified Correct:

GEORGE D. AGUILA
Division Supply Officer II

School: __________________________

School Year: ____________________

__________________________
(OTHER PROPERTY)

Date LOCATION NAME OF

Quantity Articles/Description Acquired IN-CHARGE/RECIPIENT/
END-USER
1 Laminating Film 4,000 Classroom Bhaby Tabayag
1 Cutter 2,500 Principal’s office ]’Merafe E. Aluan
Prepared by: Attested:

_______________________ ________________________
School Property Custodian Principal
OR In-Charge

Certified Correct:

GEORGE D. AGUILA
Division Supply Officer II