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This document is a waste materials report template for recording items to be disposed, including the item, quantity, description, and method of disposal. It requires signatures from the supply custodian, head of the agency, inspection officer, and witness to verify and approve the disposal of listed items.
This document is a waste materials report template for recording items to be disposed, including the item, quantity, description, and method of disposal. It requires signatures from the supply custodian, head of the agency, inspection officer, and witness to verify and approve the disposal of listed items.
This document is a waste materials report template for recording items to be disposed, including the item, quantity, description, and method of disposal. It requires signatures from the supply custodian, head of the agency, inspection officer, and witness to verify and approve the disposal of listed items.
Entity Name : _____________________________ Fund Cluster : _____________________
Place of Storage : ___________________________________________ Date : ________________________________
ITEMS FOR DISPOSAL
Record of Sales Item Quantity Unit Description Official Receipt No. Date Amount 1 2 3 4 5 6 7 8 9 10 TOTAL Certified Correct : Disposal Approved : __________________________________ Signature over Printed Name of Supply Signature over Printed Name of Head of and/or Property Custodian Agency/Entity or his/her Authorized Representative
CERTIFICATE OF INSPECTION
I hereby certify that the property enumerated above was disposed of as follows:
Item ________ Destroyed
Item ________ Sold at private sale Item ________ Sold at public auction Item ________ Transferred without cost to __(Name of the Agency/Entity)__
Certified Correct: Witness to Disposal:
Signature over Printed Name of Signature over Printed Name of