REPORT ON INVENTORY OF SUPPLIES AND MATERIALS

As of____________________

Barangay : ____________________ City/Municipal : ____________________________________

Tel No : _____________________ Province: __________________________________________

For which: ___________________________________________________________ is accountable, having assumed accountability on____________________

(Name of Accountable Officer) (Official/Designation) (Date of Assumption)

SHORTAGE/
BALANCE PER ON HAND PER
STOCK UNIT OF OVERAGE
ARTICLE DESCRIPTION UNIT VALUE CARD COUNT REMARKS
NUMBER MEASURE
( Quantity) ( Quantity) Quantity Value
Prepared by: Approved by:

_______________________ __________________________ _______________________

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Barangay Treasurer Punong Barangay or Representative Punong Barangay
Member, Inventory Committee Chairman. Inventory Committee

_________________________ _________________________ _______________________

Date Date Date