Annex 36

REPORT ON INVENTORY OF DONATED SUPPLIES AND MATERIALS

As at ______________, 20___

SK of Barangay: _______________________
City/Municipality: ______________________
Province: _____________________________
For which _______________________________, _______________ is accountable, having assumed such accountability on _______________.
(Name of Accountable SK Official) (Official Designation) (Date of Assumption)

Balance On Hand Shortage/Overage

Unit of Per RDSM Per Count
Article Item Description Stock No. Measurement Unit Cost (Quantity) (Quantity) Quantity Value Remarks
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Prepared and Certified Correct by: Approved by:

_____________________________ _____________________________ _____________________________ __________________________

Signature over Printed Name Signature over Printed Name Signature over Printed Name Signature over Printed Name
Member, Inventory Committee Member, Inventory Committee Head, Inventory Committee SK Chairperson
Date: _________________ Date: _________________ Date: _____________ Date: ______________

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