General Form No. 12Revised January 1992

INVENTORY AND INSPECTION REPORT OF UNSERVICEABLE PROPERTYAs of December 31, 2012

Deparment of Education ROSELLA M. SORIANO O.I.C. - Supply Officer Division of Tarlac ProvinceAgency/MunIcipality/Office (Name of Accountable Officer) (Designation) (Station)

I N V E N T O R Y INSPECTION REPORT RECORDS OF SALESUNIT TOTAL CLASSI- PROPERTY DATE HOW RENDERED DESTROYED SOLD CONTINUED TO BE TOTAL APPRAISED OFFICIAL AMOUNT

ARTICLES QUANTITY COST COST FICATION NUMBER ACQUIRED UNSERVICEABLE IN SERVICE SALVAGED VALUATION RECEIPT No.(1) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16)

Grade OneSibika at Kultura 5 Jan-05 Due to long use 5Grade TwoEnglish for You & me 38 Jan. 2007 Due to long use 38Using English 39 Jan. 2005 Due to long use 39Katangiang Pilipino 39 Jan-01 Due to long use 39Pagdiriwang ng Wikang Fi 46 Jan.2001 Due to long use 43Pagsibol 48 Jan. 2003 Due to long use 48Mathematics for Everyda 82 Jan.2005 Due to long use 82Suhay 14 Jan. 2005 Due to long use 14Pag-unlad sa Wika at Pag 5 Jan. 2007 Due to long use 5Reading for Meaning 2 Jan. 2005 Due to long use 2Halinat Tumula 5 Jan. 2005 Due to long use 5Embrace Power through 13 Jan. 2007 Due to long use 13Developing My Reading 2 jan.2005 Due to long use 2

Grade ThreeDeveloping English Powe 2 Jan-05 Due to long use 2English for You & Me Rea 2 Jan-07 Due to long use 2English for You & Me La 1 Jan-07 Due to long use 1My World of Science and 2 Jan-07 Due to long use 2Grade FourGrade School Mathematic 4 Jan-07 Due to long use 4Fun in English 4 Reading 2 Jan-07 Due to long use 2

Grade FiveEnglish Expressways Rea 10 Jan-05 Due to long use 10

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English Expressways Lan 8 Jan-05 Due to long use 8Hiyas sa Pagbasa 7 Jan-05 Due to long use 7Makabayan Kasaysayang P 11 Jan-05 Due to long use 11

I HEREBY request inspection, pursuant to Section 79 of PD 1445, of the public property of which I CERTIFY that I have inspected each and every article I CERTIFY that I have witnessed the the above is a correctr inventory and which has not been previously condemned. This report enumerated in this report and that the disposition made disposition of the article enumerated consists of __________ sheets. thereof was, in my judgement, the best for the public on this report this _________ day ofRequested by: Request for Inspection Approved by: interest. I also certify that the articles found to be worth- _____________________ 20 ________.

less have been destroyed in my presence.

HERCULES V. VALENZUELA, JR HIMAYA C. BUMAGAT, Ph.D. ROSELLA M. SORIANO MILAFLOR Z. GAMBOADistrict Property Custodian District Supervisor O.I.C Supply Office State Auditor IV

General Form No. 12Revised January 1992

INVENTORY AND INSPECTION REPORT OF UNSERVICEABLE PROPERTYAs of December 31, 2012

Department of Education ROSELLA M. SORIANO O.I.C. Supply Office DiviAgency/MunIcipality/Office (Name of Accountable Officer) (Designation) (Station)

I N V E N T O R Y INSPECTION REPORT RECORDS OF SALESUNIT TOTAL CLASSI- PROPERTY DATE HOW RENDERED DESTROYED SOLD CONTINUED TO BE TOTAL APPRAISED OFFICIAL AMOUNT

ARTICLES QUANTITY COST COST FICATION NUMBER ACQUIRED UNSERVICEABLE IN SERVICE SALVAGED VALUATION RECEIPT No.(1) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16)

TYPEWRITER:1. Olivetti Long Barrel 1 X > 24" carriage2. Olympia Long Barrel 1 X > 24" carriage3. Remington 1 X > 15" carriage

UNION STAND FAN: 8 1,625.00 13,000.00 X > Model UGSF 1632

Conference chair 4 1,500.00 6,000.00 XPuncher, 1 XStapler #35 3 XSphygmomanometer 1 X

I HEREBY request inspection, pursuant to Section 79 of PD 1445, of the public property of which I CERTIFY that I have inspected each and every article I CERTIFY that I have witnessed the the above is a correctr inventory and which has not been previously condemned. This report enumerated in this report and that the disposition made disposition of the article enumerated consists of __________ sheets. thereof was, in my judgement, the best for the public on this report this _________ day ofRequested by: Request for Inspection Approved by: interest. I also certify that the articles found to be worth- _____________________ 20 ________.

less have been destroyed in my presence.

ROSELLA M. SORIANO ANTONIETA B. TIOTUICO, Ph.D., CESO V AILEEN M. MANGAHAS JOSE A. GARILLOO.I.C. Supply Office Schools Division Superintendent Division Inspection & Acceptance Committee State Auditor III

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_____________________ 20 ________.