Report On The Physical Count of Inventories

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REPORT ON THE PHYSICAL COUNT OF INVENTORIES

_________________________________
(Type of Inventory Item)

As at ________________________

Fund Cluster : ________________________________

For which ___(Name of Accountable Officer)_________, _ (Official Designation)___, __________(Entity Name)______________ is accountable, having assumed such accountability on ___(Date of Assumption)____.

Unit of On Hand Per Shortage/Overage


Article Description Stock Number Unit Value Balance Per Card Count Remarks
Measure
(Quantity) (Quantity) Quantity Value

Certified Correct by: Approved by: Verified by:

________________________________ _______________________________
Signature over Printed Name of Inventory Signature over Printed Name of Head of Agency/Entity Signature over Printed Name of COA Representative
Committee Chair and Members or Authorized Representative

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