Appendix 66
REPORT ON THE PHYSICAL COUNT OF INVENTORIES
_________________________________
(Type of Inventory Item)
As at ________________________
Fund Cluster : ________________________________
For which ___(Name of Accountable Officer )_________, _ (Official Designation )___, __________(Entity Name )______________ is accountable, having assumed such accountability on ___(Date of Assumption)___ _.
Balance Per On Hand Per Shortage/Overage
Stock Unit of Unit
Article Description Card Count Remarks
Number Measure Value
(Quantity) (Quantity) Quantity Value
163
Certified Correct by: Approved by: Verified by:
________________________________ _______________________________
Signature over Printed Name of Signature over Printed Name of Head of Signature over Printed Name of COA
Inventory Committee Chair and Agency/Entity or Authorized Representative Representative
Members