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Annex A Inventory Count Form (Icf)

This document is an inventory count form for an agency that lists various information and communication equipment, disaster response equipment, and furniture. It provides details of 15 computer and printing items, 4 fire extinguishers, and 7 furniture pieces located at the Brgy. Hall. The form includes each item's description, old and new property numbers, quantity, value, location, and condition.

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Archelaus Pacena
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© © All Rights Reserved
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Download as XLSX, PDF, TXT or read online on Scribd
1K views

Annex A Inventory Count Form (Icf)

This document is an inventory count form for an agency that lists various information and communication equipment, disaster response equipment, and furniture. It provides details of 15 computer and printing items, 4 fire extinguishers, and 7 furniture pieces located at the Brgy. Hall. The form includes each item's description, old and new property numbers, quantity, value, location, and condition.

Uploaded by

Archelaus Pacena
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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AGENCY NAME Annex A

Inventory Count Form


PPE Account Group: Sheet No.___of____

New Property Unit Unit

No. assigned of of Quantity per Quantity per Location/


Article/Item Description Old Property No. Condition Remarks
(to be filled Measure Value Property Card Physical Card Whereabouts
during validation)
INFORMATION AND COMMUNICATION AND RESCUE EQUIPMENT

Various Computer 10705030-001-03-0001 1 46,977.00 Brgy.Hall Serviceable


Epson LX300 10705030-002-03-0001 1 8,115.00 Brgy.Hall Serviceable
UPS 10705030-001-03-R010070 1 2,317.00 Brgy.Hall Unserviceable
PRINTER (DESKET INK ADVANTAGE)10705030-002-CN19912K08 1 3,580.00 Brgy.Hall Serviceable
1 SET COMPUTER 10705030-001-2014-03-0001 1 25,850.00 Brgy.Hall Serviceable
DESKTOP COMPUTER W/ PN 10705030-001-2014-PN 0054-1628-0013 1 29,900.00 Brgy.Hall Serviceable
DELL INSPIRON LAPTOP 10705030-001-2017-03-SN#41GFRJ2 1 22,400.00 Brgy.Hall Serviceable
CANON IP2770 PRINTER 10705030-002-2017-03-SN#HRVX55399 1 2,550.00 Brgy.Hall
EPSON L3110 3 IN 1 PRINTER 10705030-002-2019-03-0001 1 8,200.00 Brgy.Hall Serviceable
LENOVO LAPTOP 10705030-001-2020-03-0001 1 30,000.00 Brgy.Hall Serviceable
EPSON L121 PRINTER 10705030-002-2021-03-0001 1 7,166.00 Brgy.Hall Serviceable
EPSON L121 PRINTER 10705030-002-2021-03-0002 1 7,166.00 Brgy.Hall Serviceable
EPSON L121 PRINTER 10705030-002-2021-03-0003 1 7,166.00 Brgy.Hall Serviceable
ACER LAPTOP 10705030-001-2021-03-0001 1 24,650.00 Brgy.Hall Serviceable
BROTHER PRINTER 10705030-002-2021-03-0004 1 23,250.00 Brgy.Hall Serviceable

Prepared by: Reviewed by:


Printed Name and Signature Printed Name and Signature
Concerned Inventory Committee Member Chairman, inventory Committee

Date:
AGENCY NAME Annex A
Inventory Count Form
PPE Account Group: Sheet No.___of____

New Property Unit Unit

No. assigned of of Quantity per Quantity per Location/


Article/Item Description Old Property No. Condition Remarks
(to be filled Measures Value Property Card Physical Card Whereabouts
during validation)
DISASTER RESPONSE AND RESCUE EQUIPMENT

FIRE EXTINGUISHER 10705090-2019-03-0001 1 5,000.00 Brgy. Hall Serviceable


FIRE EXTINGUISHER 10705090-2019-03-0002 1 5,000.00 Brgy. Hall Serviceable
FIRE EXTINGUISHER 10705090-2019-03-0003 1 5,000.00 Brgy. Hall Serviceable
FIRE EXTINGUISHER 10705090-2019-03-0004 1 5,000.00 Brgy. Hall Serviceable

FURNITURE AND FIXTURES

VARIOUS CHAIRS 10707010-002-03-0003 1 8,000.00 Brgy. Hall Serviceable


CABINET 10707010-001-03-0002 1 2,000.00 Brgy. Hall Serviceable
STEEL CABINET W/ 4 DRAWERS 10707010-001-03-R010054 1 3,950.00 Brgy. Hall Serviceable
OFFICE TABLE (NARRA) 10707010-004-03-R010055 1 7,500.00 Brgy. Hall Serviceable
CORNER SET 10707010-002-03-R010056 1 10,000.00 Brgy. Hall Serviceable
CABINET (PLATERA-NARRA) 10707010-001-03-R010059 1 9,699.00 Brgy. Hall Serviceable
SALA SET 10707010-003-03-R010067 1 12,000.00 Brgy. Hall Serviceable
OFFICE TABLE 10707010-004-2013-03-0001 1 12,995.00 B rgy. Hall Serviceable

Prepared by: Reviewed by:


Printed Name and Signature Printed Name and Signature
Concerned Inventory Committee Member Chairman, inventory Committee
Date:

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