Copy of Inventory and Inspection Report of Unserviceable Property

General Form No. 12 Revised January 1992

INVENTORY AND INSPECTION REPORT OF UNSERVICEABLE PROPERTY As of December 31, 2012 Deparment of Education Agency/MunIcipality/Office

ROSELLA M. SORIANO (Name of Accountable Officer)

O.I.C. - Supply Officer (Designation)

I N V E N T O R Y ARTICLES QUANTITY (1) (2) Grade One Sibika at Kultura 5 Grade Two English for You & me 38 Using English 39 Katangiang Pilipino 39 Pagdiriwang ng Wikang Filipino 46 Pagsibol 48 Mathematics for Everyday Use 82 Suhay 14 Pag-unlad sa Wika at Pagbasa 5 Reading for Meaning 2 Halinat Tumula 5 Embrace Power through Language 13 Developing My Reading Power 2 Grade Three Developing English Power English for You & Me Reading English for You & Me Language My World of Science and Health Grade Four Grade School Mathematics 4 Fun in English 4 Reading

UNIT COST (3)

TOTAL COST (4)

Division of Tarlac Province (Station)

INSPECTION REPORT

CLASSI- PROPERTY DATE HOW RENDERED DESTROYED FICATION NUMBER ACQUIRED UNSERVICEABLE (5) (6) (7) (8) (9) Jan-05 Due to long use

SOLD (10)

CONTINUED TO BE IN SERVICE SALVAGED (11) (12) 5

Jan. 2007 Jan. 2005 Jan-01 Jan.2001 Jan. 2003 Jan.2005 Jan. 2005 Jan. 2007 Jan. 2005 Jan. 2005 Jan. 2007 jan.2005

Due to long use Due to long use Due to long use Due to long use Due to long use Due to long use Due to long use Due to long use Due to long use Due to long use Due to long use Due to long use

38 39 39 43 48 82 14 5 2 5 13 2

2 2 1 2

Jan-05 Jan-07 Jan-07 Jan-07

Due to long use Due to long use Due to long use Due to long use

2 2 1 2

4 2

Jan-07 Due to long use Jan-07 Due to long use

4 2

RECORDS OF SALES TOTAL (13)

APPRAISED OFFICIAL VALUATION RECEIPT No. (14) (15)

Grade Five English Expressways Reading 10 English Expressways Language 8 Hiyas sa Pagbasa 7 Makabayan Kasaysayang Pilipino 11

Jan-05 Jan-05 Jan-05 Jan-05

Due to long use Due to long use Due to long use Due to long use

I HEREBY request inspection, pursuant to Section 79 of PD 1445, of the public property of which the above is a correctr inventory and which has not been previously condemned. This report consists of __________ sheets. Requested by: Request for Inspection Approved by:

HERCULES V. VALENZUELA, JR District Property Custodian

HIMAYA C. BUMAGAT, Ph.D. District Supervisor

10 8 7 11

I CERTIFY that I have inspected each and every article enumerated in this report and that the disposition made thereof was, in my judgement, the best for the public interest. I also certify that the articles found to be worthless have been destroyed in my presence. ROSELLA M. SORIANO O.I.C Supply Office

I CERTIFY that I have witnessed the disposition of the article enumerated on this report this _________ day of _____________________ 20 ________.

MILAFLOR Z. GAMBOA State Auditor IV

of Tarlac Province (Station) RECORDS OF SALES AMOUNT (16)

that I have witnessed the n of the article enumerated port this _________ day of ______________ 20 ________.

MILAFLOR Z. GAMBOA State Auditor IV

General Form No. 12 Revised January 1992

INVENTORY AND INSPECTION REPORT OF UNSERVICEABLE PROPERTY As of December 31, 2012 Department of Education Agency/MunIcipality/Office

ROSELLA M. SORIANO (Name of Accountable Officer)

O.I.C. Supply Office (Designation)

I N V E N T O R Y ARTICLES (1) TYPEWRITER: 1. Olivetti Long Barrel > 24" carriage 2. Olympia Long Barrel > 24" carriage 3. Remington > 15" carriage

QUANTITY (2)

UNIT COST (3)

TOTAL COST (4)

INSPECTION REPORT

CLASSI- PROPERTY DATE HOW RENDERED DESTROYED FICATION NUMBER ACQUIRED UNSERVICEABLE (5) (6) (7) (8) (9)

1

X

1

X

1

X

UNION STAND FAN: > Model UGSF 1632

8

1,625.00

13,000.00

X

Conference chair Puncher, Stapler #35 Sphygmomanometer

4 1 3 1

1,500.00

6,000.00

X X X X

I HEREBY request inspection, pursuant to Section 79 of PD 1445, of the public property of which the above is a correctr inventory and which has not been previously condemned. This report consists of __________ sheets. Requested by: Request for Inspection Approved by:

Divi (Station)

SOLD (10)

CONTINUED TO BE IN SERVICE SALVAGED (11) (12)

RECORDS OF SALES TOTAL (13)

I CERTIFY that I have inspected each and every article enumerated in this report and that the disposition made thereof was, in my judgement, the best for the public interest. I also certify that the articles found to be worthless have been destroyed in my presence.

APPRAISED OFFICIAL VALUATION RECEIPT No. (14) (15)

I CERTIFY that I have witnessed the disposition of the article enumerated on this report this _________ day of _____________________ 20 ________.

ROSELLA M. SORIANO O.I.C. Supply Office

ANTONIETA B. TIOTUICO, Ph.D., CESO V Schools Division Superintendent

AILEEN M. MANGAHAS Division Inspection & Acceptance Committee

JOSE A. GARILLO State Auditor III

Divi (Station) RECORDS OF SALES AMOUNT (16)

that I have witnessed the n of the article enumerated port this _________ day of ______________ 20 ________.

JOSE A. GARILLO State Auditor III