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RLSDDP for Kalabuso Elementary School

This document is a report of lost, stolen, damaged or destroyed property from Kalabuso Elementary School. It was submitted by Ericson F. Garcia as the accountable officer and noted by Fernando T. Espinosa Jr. as the immediate supervisor. No property details are provided as the status of property box is blank and the property number, description and acquisition cost fields are marked N/A. The circumstances of the reported incident are also not described. The document was signed on August 16, 2021.

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Espinosa Teves Fernan
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118 views2 pages

RLSDDP for Kalabuso Elementary School

This document is a report of lost, stolen, damaged or destroyed property from Kalabuso Elementary School. It was submitted by Ericson F. Garcia as the accountable officer and noted by Fernando T. Espinosa Jr. as the immediate supervisor. No property details are provided as the status of property box is blank and the property number, description and acquisition cost fields are marked N/A. The circumstances of the reported incident are also not described. The document was signed on August 16, 2021.

Uploaded by

Espinosa Teves Fernan
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

Appendix 75

REPORT OF LOST, STOLEN, DAMAGED OR DESTROYED PROPERTY

Entity Name : KALABUSO ELEMENTARY SCHOOL Fund Cluster: __________


Department/Office : ________________________ RLSDDP No. : ______________
Accountable Officer: _______________________________ RLSDDP Date : _____________
Designation : ________________________________ PAR No. : __________________
Police Notified : Yes Police Station : ____________________ PAR Date : ________________
Date : ___________________________
No

Status of Property : (check applicable box)


Lost Damaged
Stolen Destroyed

Property No. Description Acquisition Cost

N/A N/A N/A

Circumstances:

184
I hereby certify that the item/s and circumstances stated above are true
and correct. Noted by:

ERICSON F. GARCIA FERNANDO T. ESPINOSA JR


Signature over Printed Name of the Accountable Officer Signature over Printed Name of the Immediate
Supervisor
August 16, 2021 16-Aug-21
Date Date

Government Issued ID : __________________


ID No. : _____________________________
Date Issued : _________________________

SUBSCRIBED AND SWORN to before me this ______day of _____________, affiant exhibiting the above
government issued identification card.

Doc. No. _________


Page No. _________ Notary Public
Book No. _________
Series of _________

184

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