III.

Properties
Mode of Acquisition (Please check)/Date Mode of Acqu
A. Land and Building Cost/Amount B. Equipment Cost/Amount
Donated Owned Leased Purchased Donated

Mode of Acquisition (Please check)/Date Mode of Acqu

C. Motor Vehicles Cost/Amount D. Others Cost/Amount
Donated Owned Leased Purchased Donated

Prepared by: Noted by:

ELENA D. CUVIN, Ph.D. HON. JOAN V. ALARILLA

LGU Accountant Local Community College Head Local Chief Executive

Date: ______________________ Date: ______________________

Mode of Acquisition (Please check)/Date
Owned Leased Purchased

Mode of Acquisition (Please check)/Date

Owned Leased Purchased