Region XII

Division of Sarangani
East Maasim District

School: ___________________________________________

PAYMENT MADE FOR 2010 TO 2011 PROPERTY SHORTAGE PAID BY

Teacher’s Name : _____________________________________ Designation : ___________

PRODED/MOOE/DEP
QUANTITY NAME & DESCRIPTION ED TEXTBOOK UNIT TOTAL PRICE
OF PROPERTY PROPERTY PRICE
(1) (2) (3) (5)
(4)

1. Total number of books property lost.

2. Write the correct name title and description of the lost property or articles paid for as written in the
inventory.
3. Indicate whether or not the property or articles lost and paid for by PRODED, MOOE, DepEd
Textbooks.
4. State the unit price as taken from the latest price list.
5. State the total amount paid by multiplying the column (5) by the quantity./

I HEREBY CERTIFY TO THE CORRECTNESS THAT THE ABOVE STATEMENT HAVE BEEN
VERIFIED AND FOUND CORRECT AND THAT PAYMENT HAS BEEN RECEIVED

__________________________
Principal/ HT/SIC/MT/Teacher

_________________________
School Property Custodian

Approved:
LEONIL A. ESTAÑO
District Property Custodian

Note: To be prepared in 5 copies to be distributed as follows: District Office, Teacher/Payee, Head of School, School Property and
District Property
 Region XII
Division of Sarangani
East Maasim District

SUMMARY OF BOOKS LOSSES

SCHOOL YEAR 2010 -2011

DESCRIPTION/BOOKS
NO. NAME OF TEACHER LOSSES/SHORTAGE TYPE OF LOSSES QTY. UNIT COST TOTAL AMOUNT

Submitted by:
_______________________
School Property Custodian

Certified Correct:
____________________________
Principal/ School Head/ HT

Note: To be accomplished by School Property Custodian.

 Region XII
Division of Sarangani
East Maasim District
__________________________________SCHOOL

I n v e n t o r y o f B o o k s /P r o p e r t y
SY: 2010-2011
Name of Teacher: _____________________________ Grade:__________
B ALANCE
RECEIVED LOSSES IN THE UNIT
NO. DESCRIPTION OF BALANCE AS OF DURING THE & PAID DISTRICT PRICE
ARTICLES JUNE 2010 YEAR FOR AS OF MAY
2010

I hereby certify that the above property have physically checked and found the same. That I personally
assumed money responsibility under the charge of the teachers and other employees directly responsible to me
and I am liable for all shortages arising in the future.

_______________________ __________________________
School Property Custodian Principal 1 / HT / School Head

Checked: ` Verified:
LEONIL A. ESTAÑO ADELINA G. REGANIT
District Property Custodian Public Schools District Supervisor

Note: School Property custodian will collect all the summary of books Property form and place it in a folder.
 Region XII
Division of Sarangani
East Maasim District
_____________________________________ SCHOOL

INVENTORY OF CLASSROOM PROPERTY

SY: 2010-2011
Name of Teacher: _____________________________
Enrolment :__________
Grade ` : _________

DESCRIPTION OF
ARTICLES NATIONAL DIVISION PTCA HRPTCA TOTAL REMARKS

1. Desk
2. Armchairs
3.Writing Board
4. Tables
5.Teacher’s Table
6. Teacher’s Chair
7. Cabinet
8. Toilet
9. Electric Ceiling Fan
10. Pin boards
11.Drinking Jar
12. Pail
13.Curtains
14. Trash can
15. Divan
16.
17.
18.
19
20.
21
22.
23.
24.

Prepared by:

__________________________
Classroom Teacher/ Adviser

Checked: `
___________________
School Property Custodian

Note: School Property custodian will collect all the classroom inventory forms and place it in a folder. Accomplished in 3 copies
( School Property Custodian, School Head & District Property Custodian).