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ADSAC Form 1D

School Year: 2021 - 2022

END OF SCHOOL YEAR PROPERTY AND INVENTORY

Teacher’s Name: JELLA MAE S. LABONG

BOOK INVENTORY

QUANTITY UNIT DESCRIPTION REMARKS


Quarter 2 SCIENCE 3 - My Distance Learning Buddy: A Modular Textbook
1 pc In good condition
for the 21st Century Learner)
Quarter 2 ENGLISH 3 - My Distance Learning Buddy: A Modular Textbook
1 pc for the 21st Century Learner
In good condition
Quarter 2 SCIENCE 3 - My Distance Learning Buddy: A Modular Textbook
1 pc In good condition
for the 21st Century Learner
Quarter 2 MAPEH 4 - My Distance Learning Buddy: A Modular Textbook for
1 pc the 21st Century Learner
In good condition
Quarter 2 ARPA 5 - My Distance Learning Buddy: A Modular Textbook for
1 pc In good condition
the 21st Century Learner
Quarter 3 ENGLISH 3 - My Distance Learning Buddy: A Modular Textbook
1 pc for the 21st Century Learner
In good condition
Quarter 3 ARPA 3 - My Distance Learning Buddy: A Modular Textbook for
1 pc In good condition
the 21st Century Learner
Quarter 3 MAPEH 4 - My Distance Learning Buddy: A Modular Textbook for
1 Pc the 21st Century Learner
In good condition
Quarter 3 ARPA 5 - My Distance Learning Buddy: A Modular Textbook for
1 pc In good condition
the 21st Century Learner
Quarter 4 SCIENCE 3 - My Distance Learning Buddy: A Modular Textbook
1 pc for the 21st Century Learner)
In good condition
Quarter 4 ENGLISH 3 - My Distance Learning Buddy: A Modular Textbook
1 pc In good condition
for the 21st Century Learner
Quarter 4 ARPA 3 - My Distance Learning Buddy: A Modular Textbook for
1 pc the 21st Century Learner
In good condition
Quarter 4 MAPEH 4 - My Distance Learning Buddy: A Modular Textbook for
1 pc In good condition
the 21st Century Learner
Quarter 4 ARPA 5 - My Distance Learning Buddy: A Modular Textbook for
1 pc the 21st Century Learner
In good condition

I hereby declare that the information furnished above is true to the best of my knowledge.

Prepared by: JELLA MAE S. LABONG Checked by: VENESSE L. RENEGADO


Class Adviser Elementary Department Coordinator

Verified by: RONILO ILAGAN Approved by: JIE-ANN S. SALEM


School Property Custodian School Principal

*Note: Use another sheet if necessary.

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