| LGU : | MAGSAYSAY, OCCIDENTAL MINDORO | PAR No.: | |
| Fund : | Budget Ref. No.: |
| Quantity | Unit | Description | Property Number | Date Acquired | Amount |
|---|---|---|---|---|---|
| 1 | 0 | ||||
Received by: Signature over Printed Name of End User Position/Office Date | Issued by: Signature over Printed Name of Supply and/or Property Custodian Position/Office Date |
| LGU : | MAGSAYSAY, OCCIDENTAL MINDORO | PAR No.: | |
| Fund : | Budget Ref. No.: |
| Quantity | Unit | Description | Property Number | Date Acquired | Amount |
|---|---|---|---|---|---|
| 1 | 0 | ||||
Received by: Signature over Printed Name of End User Position/Office Date | Issued by: Signature over Printed Name of Supply and/or Property Custodian Position/Office Date |