Municipality of Vintar __________ Ilocos Norte___________
State Place of Storage Bureau, City, Province of Municipality ____________ Date Record of Sale Item Quantity Unit Description Official Receipt No. Amount Number BULLDOZER 1 2 Pails Oil #10 ROAD GRADER 2 2 Pails Oil #10 3 2 Pcs 3SM Battery 4 4 Pcs Battery Clamp 5 1 Pc Oil Filter FLATBED 6 2 Pcs 6 SM Battery 7 3 Pcs Elec. Wire #14 8 2 Pcs Elec. Tape 9 2 Pcs Toggle Switch 10 1 Pc WD 40 11 2 Ltrs Oil #40 12 4 Ltrs Engine Oil 13 1 Ltr Brake Fluid 14 10 Pcs Fuse PAYLOADER WA250 15 2 Pcs Tire Interior 20.5 5R 25 16 2 Pcs Flap 20.5 17 2 Pcs Fuel Filter DT GARBAGE 18 1 Pc Fuel Filter 19 1 Pc HHS 2000 (Oil #40) 20 4 Pcs Head/Rear Light Bulb 21 1 Set Tie Rod End 22 1 Box Rubber Cap 23 1 Ltr Brake Fluid 24 1 Pc Clutch Lining DT BLUE 25 2 Pcs Master Kit 26 1 Ltr Brake Fluid BACKHOE 27 1 Pail Oil #10 XXX Certified Correct; Disposal Approved;
ROGELIO AGSUNOD HON. LARISA C. FORONDA
Property Officer Municipal Mayor
CERTIFICATION OF INSPECTION
I HEREBY CERTIFY that this property enumerated above was disposed of as follows:
Items __________ Destroyed/ For disposal
Items __________ Sold at public auction Items __________ Sold at private sale Items __________ Transferred w/o cost to Items __________ Continued in service Items __________ Kept in stock
Property Inspector: Witness to:
ENGR. CHRISTOPHER V. FLORES GERONIMO T. FRANCISCO, Jr.
Engr. I, Motorpool Supervisor Mechanic 1
SECOND ENDORSEMENT
Respectfully returned to the __________________________________________ hereby approving the action of the
property inspector as continued in his foregoing certificate. The proceeds from the sale should be taken up as credit to _______________________________________________.