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ANNEX A

ASSET TRANSFER FORM


Date Prepared 01-15-2024 Date of Transfer 01-15-2024
Originating Area CEBU CITY Destination Area CEBU CITY
Cost Center 1TRVSPPCBO Cost Center 1TRVSPPCBO

Asset Transfer Reference Number

A. ITEM DETAILS
Item Description / Equipment LENOVO MONITOR(SN: VKGW9247 || SMLMD620PD0064) ;
Description / Plate Number/Asset LENOVO DESKTOP (SN: PC1V71Y8|| SMLMD620PD0062);
ECM UPS (40010662002) ;LENOVO MOUSE(8SSM50L24505AVLC0CX1319);
Number LENOVO KEYBOARD(8SSD50L21359AVLC119071J)
Make / Model LENOVO THINK CENTER
Item / Equipment Code LENOVO MONITOR(SN: VKGW9247 || SMLMD620PD0064) ;
LENOVO DESKTOP (SN: PC1V71Y8|| SMLMD620PD0062);
ECM UPS (40010662002) ;LENOVO MOUSE(8SSM50L24505AVLC0CX1319);
LENOVO KEYBOARD(8SSD50L21359AVLC119071J)
Serial Number LENOVO MONITOR(SN: VKGW9247 || SMLMD620PD0064) ;
LENOVO DESKTOP (SN: PC1V71Y8|| SMLMD620PD0062);
ECM UPS (40010662002) ;LENOVO MOUSE(8SSM50L24505AVLC0CX1319);
LENOVO KEYBOARD(8SSD50L21359AVLC119071J)
Quantity 1 PC SET AND 1 UPS
Accountable Person LHOIE JAY D. WENCESLAO
Type of Transfer Permanent X Temporary
Temporary Tranfer Period Start Date 01-15-2024 End Date
Reason For Transfer
EMPLOYEE RESIGNED

Prepared by | Date Endorsed by | Date Approved by | Date


LHOIE JAY WENCSLAO LHOIE JAY WENCESLAO

01-15-2024 01-15-2024

B. RECEIVING REPORT

I certify that the items listed above were received in complete and good condition.

ANALYN C. CUBUAN SMILSI - PPFB VISAYAS 01-15-2024


Received by Area Name/Cost Center Date

C. FINANCE DEPARTMENT
Prepared by | Date Note SAP Reference Number

D. FOR RETURN OF ASSETS TEMPORARILY TRANSFERRED


Returned by | Date Received by | Date Return Reference Number
LHOIE JAY WENCESLAO
ANALYN CUBIAN | 01-15-2024
01-15-2024

NOTE : THE ITEM IS NOT USED SINCE AUGUST 2023 DUE TO NO CONNECTION FOR SAN MIGUEL THE
UNIT IS RESTRICTED FOR SAN MIGUEL NETWORK ONLY.

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