Inventory Custodian Slip For Supplies

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Republic of the Philippines

Department of Education
Region X – Northern Mindanao
DIVISION OF OZAMIZ CITY
Tel. No. (088) 545-0988 Fax No. (088) 545-0990

INVENTORY CUSTODIAN SLIP


ICS No. OS-2015-02-004
QUANTITY UNIT INVENTORY ITEM ESTIMATED
NO. USEFUL LIFE
(In Years)
1 pc STAPLER,heavy duty,standard No.35Swingline '(Php 450.00)
-nothing follows-

Received By: Received From:

DANILO P. ARROYO DOROTHY JOY B. YTING


Signature Over Printed Name Signature Over Printed Name

EPS-1 Administrative Officer IV


Position Position

26-Feb-2015
Date Date
INVENTORY CUSTODIAN SLIP (ICS)
INSTRUCTIONS
A. This form shall be accomplished as follows:

1. Agency logo and letterhead – name, address and logo of the agency

2. ICS No. – assigned control number

3. Quantity – number of units given to the concerned employee


or user of the inventory item with estimated useful life of more
than one year

4. Unit – unit of measurement

5. Description – brief description or details of the items issued to


the concerned employee, including serial number in case of
equipment with serial number

6. Inventory Item No. – assigned property number of the


inventory item issued

7. Estimated Useful Life – estimated useful life of the item issued

B. The ICS shall be prepared in two copies distributed as follows:

Original – Supply and Property Unit


Duplicate Copy – Recipient or user of the inventory

C. This form shall be signed and dated by the designated Property


Officer on the “Received from” portion and the recipient or user of
the inventory shall acknowledge receipt by signing on the “Received
by” portion.

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