COA Circular No.

2022-004

SEMI-EXPENDABLE PROPERTY CARD

Entity Name : Fund Cluster:

Semi-expendable Property:
Semi-expendable Property
Description : Number:

Date Receipt Issue/Transfer/Disposal Balance

Reference Amount Remarks
(dd-mmm-yy) Qty. Unit Cost Total Cost Item No. Qty. Office/Officer Qty.
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 COA Circular No. 2022-004

INVENTORY CUSTODIAN SLIP

Entity Name:

Fund Cluster : ICS No :

Amount Estimated
Quantity Unit Description Item No.
Unit Cost Total Cost Useful Life
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SUPPLIER:
INVOICE NO. & DATE (dd-mmm-yyyy):
FUND CODE:

Received from: Received By:

Signature over Printed Name (Property / Supply Custodian) Signature over Printed Name (Recipient/ End-user)

Position/Office Position/Office

Date (dd-mmm-yyyy) Date (dd-mmm-yyyy)

 COA Circular 2022-004

REGISTRY OF SEMI-EXPENDABLE PROPERTY ISSUED

Entity Name: Fund Cluster:

Semi-expendable Property: Sheet No:

Reference Issued Returned Re-issued Disposed Balance

Estimated
Date Semi- Item Description Useful Amount Remarks
(dd-mmm-yyyy) ICS/RRSP No. expendable Qty. Office/Officer Qty. Office/Officer Qty. Office/Officer Qty. Qty.
Life
Property No.
 COA Circular No. 2022-004

INVENTORY TRANSFER REPORT

Entity Name : Fund Cluster:

From Accountable Officer/Agency/Fund Cluster : ITR No. :

To Accountable Officer/Agency/Fund Cluster : Date (dd-mmm-yyyy):

Transfer Type: (check only one)

Donatio Relocat
n
Reassig e
Others
nment (Specify):
Date Acquired ICS No./
Item No. Description Amount Condition of Inventory
(dd-mmm-yyyy) Date (dd-mmm-yyyy)

Reason/s for Transfer:

Approved by: Released/Issued by: Received by:

Signature :

Printed Name : Bennie M. Evangelista

Designation : Head, Property Management Section
Date (dd-mmm-yyyy) :
 COA Circular No. 2022-004

RECEIPT OF RETURNED SEMI-EXPENDABLE PROPERTY

Date (dd-mmm-yyyy):
Entity Name:
RRSP No.:

This is to acknowledge receipt of the returned Semi-expendable Property

Item Description Quantity ICS No. End-user Remarks

Returned by: Received by:

Portenio M. Mercado
End-User In-charge, SPMO Junkyard

Date (dd-mmm-yyyy) Date (dd-mmm-yyyy)

Bennie M. Evangelista
Head, Property Management Section

Date (dd-mmm-yyyy)
 COA Circular 2022-004

REPORT OF SEMI-EXPENDABLE PROPERTY ISSUED

Entity Name: Serial No. :

Fund Cluster : Date:
(dd-mmm-yyyy)

To be filled out by the Accounting

To be filled out by the Property and /or Supply Division/ Unit
Division/ Unit

Semi-
Responsibility
ICS No. expendable Item Description Unit Quantity issued Unit Cost Amount
Center Code
Property No.

Posted by:
I hereby certify to the correctness of the above information.

Signature over Printed Name of Property and/or Supply Custodian Signature over Printed Name of
Designated Accounting Staff
 COA Circular 2022-004

REPORT ON THE PHYSICAL COUNT OF SEMI-EXPENDABLE PROPERTY

(Type of Semi-expendable Property)

As at
Fund Cluster :

For which __(Name of Accountable Officer)_____,_(Official Designation)__,______(Entity Name)_______ is accountable, is having assumed such accountability on __(Date of Assumption)__.

Balance Per On Hand Per

Shortage/Overage
Semi- Card Count
Unit of Unit
Article Description expendable Remarks
Measure Value
Property No. (Quantity) (Quantity) (Quantity) Value

Certified Correct By: Approved by: Witnessed by:

Signature over Printed Name of Inventory Signature over Printed Name of Head of Signature over Printed Name of
Committee Chair and Members Agency/Entity or Authorized Representative COA Representative
 COA Circular 2022-004

REPORT OF LOST, STOLEN, DAMAGED OR DESTROYED SEMI-

EXPENDABLE PROPERTY

Entity Name : Fund Cluster:

Department/Office : RLSDDSP No. :

Accountable Officer: RLSDDSP Date

(dd-mmm-yyyy):

Designation: ICS No. :

Police Notified: Yes Police Station: ICS Date
No (dd-mmm-yyyy):
Date (dd-mmm-yyyy):
Status of Semi-expendable Property : (check applicable box)
Lost Damaged

Stolen Destroyed

Property No. Description Acquisition Cost

Circumstances:

I hereby certify that the item/s and circumstances stated above are true and correct. Noted by:

Signature over Printed Name of the Accountable Officer Signature over Printed Name of the
Immediate Supervisor

Date (dd-mmm-yyyy) Date (dd-mmm-yyyy)

Government Issued ID :
ID No. :
Date Issued :

SUBSCRIBED AND SWORN to before me this ______ day of ____________, affiant exhibiting the above
government issued identification card.

Doc. No.
Page No. Notary Public
Book No.
Series of
 INVENTORY AND INSPECTION REPORT OF UNSE
As at ____________________________

Entity Name: _______________________________________

______________________________ ______________________________
(Name of Accountable Officer) (Designation)

INVENTORY
Accumulat Accumulat
Date Particulars/ Property Unit Total ed ed Carrying
Qty
Acquired Articles No. Cost Cost Depreciati Impairmen Amount
on t Losses
(1) (2) (3) (4) (5) (6) (7) (8) (9)
181

I HEREBY request inspection and disposition, pursuant to Section 79 of PD 1445, of the property
enumerated above.

Requested by: Approved by:

(Signature over Printed Name (Signature over Printed Name

of Accountable Officer) of Authorized Official)
(Designation of Accountable Officer) (Designation of Authorized Official)
 Appendix 74

ON REPORT OF UNSERVICEABLE PROPERTY

____________________________

Fund Cluster : _____________________

______________________________
(Station)

INSPECTION and DISPOSAL

DISPOSAL RECORD OF SALES
Appraised
Remarks Others
Sale Transfer Destruction Total Value OR No. Amount
(Specify)
(10) (11) (12) (13) (14) (15) (16) (17) (18)

I CERTIFY that I have inspected each I CERTIFY that I have

of the property and every article enumerated in this report, witnessed the disposition of the
and that the disposition made thereof was, articles enumerated on this
in my judgment, the best for the public report this ____day of
interest. _____________, _____.

(Signature over Printed Name of (Signature over Printed Name

Inspection Officer) of Witness)
 INVENTORY AND INSPECTION REPORT OF UNSERVICEABLE
As at ______________________________

Entity Name: _______________________________________

______________________________ ______________________________ __________________
(Name of Accountable Officer) (Designation) (Station

INVENTORY
Semi
Accumulated
Date Particulars/ Expandabl Unit Total Carrying
Qty Impairment Remarks
Acquired Articles eProperty Cost Cost Amount
Losses
No.

(1) (2) (3) (4) (5) (6) (8) (9) (10)

181

I HEREBY request inspection and disposition, pursuant to Section 79 of PD 1445, of the

property enumerated above.

Requested by: Approved by:

(Signature over Printed Name

of Accountable Officer)
(Designation of Accountable Officer)
 Annex A.10

UNSERVICEABLE SEMI-EXPENDABLE PROPERTY

_______________________

Fund Cluster : _____________________

______________________________
(Station)

INSPECTION and DISPOSAL

DISPOSAL RECORD OF SALES
Appraised
Others Value
Sale Transfer Destruction Total OR No. Amount
(Specify)

(11) (12) (13) (14) (15) (16) (17) (18)

I CERTIFY that I have inspected each I CERTIFY that I have

and every article enumerated in this report, witnessed the disposition of the
and that the disposition made thereof was, articles enumerated on this
in my judgment, the best for the public report this ____day of
interest. _____________, _____.

(Signature over Printed Name of (Signature over Printed Name

Inspection Officer) of Witness)