Republic of the Philippines
Department of Health
CENTER FOR HEALTH DEVELOPMENT
MIMAROPA
PROPERTY RETURN SLIP
Employee Name:
Division/Unit/Cluster : CRE@TE PAR No.: _____________________
Quantity Unit Description Serial Number Inventory Number Date Returned
1 unit Laptop: Asus Vivobook LAN0XC11K610439 03/01/2023
1 pc Laptop Charger
Returned by: Received by:
Kalusugan sa mga Isla, Kayamanan ng MIMAROPA
Quirino Memorial Medical Center Compound, P. Tuazon Blvd., Project 4, Quezon City *Trunkline no. (632) 912-0195
Direct Line: (632) 913-4650 *Fax no.: (632) 912-7754 *URL: [Link] email: chdmimaropa@[Link]
Republic of the Philippines
Department of Health
CENTER FOR HEALTH DEVELOPMENT
MIMAROPA
Ralph Joseph B. Aquino Rommel Carlo Cayabyab
Signature over Printed Name of End User Signature over Printed Name
HPO II / CRE@TE CMT III / CRE@TE
Position/Office Position/Office
03/01/2023 03/01/2023
Date Date
Kalusugan sa mga Isla, Kayamanan ng MIMAROPA
Quirino Memorial Medical Center Compound, P. Tuazon Blvd., Project 4, Quezon City *Trunkline no. (632) 912-0195
Direct Line: (632) 913-4650 *Fax no.: (632) 912-7754 *URL: [Link] email: chdmimaropa@[Link]