| LGU: | MAGSAYSAY, OCCIDENTAL MINDORO | ICS No : | |
| Fund : | Budget Ref. No. |
| Quanti ty | Unit | Amount | Description | Inventory Item No. | Estimated Useful Life | |
|---|---|---|---|---|---|---|
| Unit Cost | Total Cost | |||||
| 1 | 0 | 0 | ||||
Received from: Signature Over Printed Name Position/Office Date | Received by: Signature Over Printed Name Position/Office Date |
| LGU: | MAGSAYSAY, OCCIDENTAL MINDORO | ICS No : | |
| Fund : | Budget Ref. No. |
| Quanti ty | Unit | Amount | Description | Inventory Item No. | Estimated Useful Life | |
|---|---|---|---|---|---|---|
| Unit Cost | Total Cost | |||||
| 1 | 0 | 0 | ||||
Received from: Signature Over Printed Name Position/Office Date | Received by: Signature Over Printed Name Position/Office Date |