Republic of the Philippines

Quezon City, Metro Manila

CITY GENERAL SERVICES DEPARTMENT

PROPERTY RETURN SLIP

Name of Local Government Unit
PURPOSE : ( )Disposal

QTY UNIT

:
CITY PERSONNEL OFFICE
( ) Repair
( ) Return to Stock

1
1
1
1
1
1
1
1
1
1

unit
unit
unit
unit
unit
unit
unit
unit
unit
unit

unit MONITOR, Monitor Redfox S/N:

PYO708RF158202512
unit WHITEBOARD, w/stand

unit COMPUTER TABLE, computer, alum. Framed

w/Diskette/C/D comp.,blue

unit COMPUTER TABLE,

computer,iron/alum.frame,w/CD/Diskette
comp.,blue

unit TIME RECORDER, Amano Electric (EX-6000N)

Model: 19406

2
1
1
1

unit
unit
unit
unit

unit COMPUTER TABLE, computer, alum. Framed

w/Diskette/C/D comp.,blue

unit FAX MACHINE, SANYO SANFAX

unit COMPUTER TABLE,

computer,iron/alum.frame,w/CD/Diskette
UPS, S/N: 520250113
unit comp.,blue

UNIT
VALUE

TOTAL
VALUE

REMARKS

90-1221
04-059(3-B)

TYPEWRITER, electric, Model KX-R540

CPU, S/N: KHXG91T
PRINTER, Deskjet D2660 Sn: CN9963H153
PRINTER, HP CN99E3HIDS
PRINTER, FUJITSU DL3850+ SN: VX190374
MONITOR, S/N:KHXG9IT
MONITOR, S/N: 23-RAV58
CPU, CLONE COMPUTER
CPU, S/N: 99YN715
CPU, S/N: Z51MSA29R6LX

1
1

PROPERTY
NUMBER

DESCRIPTION / ITEM

( ) Others ______

09-1645(3-8)
04-059(15-A)
08-1354(2-A)
04-059(16-B)
08-1354

EMERGENCY LIGHT, Sunlux

PRINTER, Epson LX300+ Sn: CEBY115003B
MONITOR, Lenovo Sn:V1VC526
PRINTER, HP
S/N: CN99E3HIDS

15,200.00 15,200.00
6,900.00

6,900.00

89-852
09-1625

2,300.00

2,300.00

08-1176

1,450.00

1,450.00

27-8 / 24-13
7,092.00

7,092.00

08-1195
09-1645(3-8)
09-1625

2,300.00

2,300.00

08-1176

1,450.00

1,450.00

unit CHAIR

unit PRINTER, HP High Definition FARGO

HDP820LC SN:A5340493, Lamination Module
SN:A5350180

unit MONITOR, Monitor KHXG29X

05-451(A)
04-451(B)

1,380,800.00 1,380,800.00

04-059(34-A)

CERTIFICATION
I HEREBY CERTIFY that I have this day of
December 12, 2014.
RETURNED TO
City General Services Office
the items / articles described above.

I HEREBY CERTIFY

that I have this day of

. 2014.

RECEIVED FROM :_______________________

the items/ articles described above.

MARLENE S. AGUILAR
Name

Name

City Personnel Officer

Designation

Designation

City Personnel Office

Dept. / Office / End - User

Authorized C.G.S.O. Representative

PROPERTY RETURN SLIP

Name of Local Government Unit : CITY PERSONNEL OFFICE

purpo
Disposal
( ) Repair
( ) Return to Stock

QTY UNIT
1 unit CPU -

1 unit

1 unit
1 unit

1 unit
1 unit
1 unit
1 unit

1 unit
1 unit

1 unit

DESCRIPTION / ITEM
IBM Netvista Model 2169-H4A
SN: 99YPF14 CUM 1000

CPU (Pentium) Microsoft

IBM Netvista 23BYN33/99Y-BOI
ModelNo.:2169 H4A
CPU (Fujitsu Pentium ) Singapore
Model No: DP5133P-SE
CPU - IBM Machine Type: 6573
Model Number: TAA
Mfg Date: 103
UPS

PX-650, 230V-60Hz Battery

Back-up, Outlet 230 VAC
UPS - ALBBA (Personal Effect of
P. Echevarria, C.P. Office)
UPS - Matchlite 500
UPS - Matchlite 500, 230V/315AT
SN:520250345, Description=
GE Matchlite Power Supplly
UPS - GE Matchlite Power Supplly
PRINTER (Epson LX-300 White)

PRINTER (Epson LX 300)

(White)
Model P 170A
C29408006L101207078

PROPERTY
NUMBER

(
UNIT
VALUE

TOTAL
VALUE

Others

REMARKS
CTO Taxpayer
Lounge

SN:99YPF14

SN: B70802352
SN: 997DGIY
M/T 6578-TAA
11SO6PTO572
JIJCFOOHYOK
SN : 390862

SN: 520250413
Prop.No:TAG72

SN: 520250130
C13011001LC
7127103
Model P850A
SN: CEBY027424
(Indonesia)

CERTIFICATION
I HEREBY CERTIFY that I have this day of
December 12, 2014.

I HEREBY CERTIFY that I have this day of

2014

RETURNED TO City General Services Department

the items / articles described above.

RECEIVED FROM:
the items/ articles described above.

MARLENE S. AGUILAR
Name

Name

City Personnel Officer

Designation

Designation

City Personnel Office

Dept. / Office / End - User

Authorized C.G.S.O. Representative

Page 2 of 3 pages
Republic of the Philippines
Quezon City, Metro Manila
CITY GENERAL SERVICES DEPARTMENT

PROPERTY RETURN SLIP

Name of Local Government Unit : CITY PERSONNEL OFFICE

purpo
Disposal
( ) Repair
( ) Return to Stock

QTY UNIT

1 unit

DESCRIPTION / ITEM

KEYBOARD (White)

PROPERTY
NUMBER

(
UNIT
VALUE

TOTAL
VALUE

Others

REMARKS

DT060600
3/28/1998
1338158
P/N: 37L2514

1 unit

KEYBOARD - IBM (Canada) White

Model KB-9910
SN: 1807631
1S37L25141807631B
1 unit KEYBOARD - IBM (black)
PN: 32P51000
Model KB - 0225
SN: 052 8649
!S32P51000528649B Microsoft

1 unit

KEYBOARD - SPEED (White)

1 unit

KEYBOARD (White) Model: K7000

(China)
MOUSE (ASM)
SN: 23-057816
FRU
MOUSE -

1 unit
1 unit

SN: 040800100
Microsoft
H909120828

51
89716

CERTIFICATION
I HEREBY CERTIFY that I have this day of
October 21, 2008.

I HEREBY CERTIFY that I have this day of

2008

RETURNED TO City General Services Department

the items / articles described above.

RECEIVED FROM:
the items/ articles described above.

MARLENE S. AGUILAR
Name

Name

City Personnel Officer

Designation

Designation

City Personnel Office

Dept. / Office / End - User

Authorized C.G.S.O. Representative

Page 3 of 3 pages.