Borrower Slip

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BORROWERS SLIP

Borrowed from DAR Provincial Office, Roxas City, the following:


Quantity Item
1
2
3
4
5

Purpose:

Approved by:

PARPO II Name & Signature of Borrower

Date: ________________________ Date Borrowed:


Date Returned:

To be accomplished in TRIPLICATE for GSS file, Security Guard and Borrower.

BORROWERS SLIP

Borrowed from DAR Provincial Office, Roxas City, the following:


Quantity Item
1
2
3
4
5

Purpose:

Approved by:

PARPO II Name & Signature of Borrower

Date: ________________________ Date Borrowed:


Date Returned:

To be accomplished in TRIPLICATE for GSS file, Security Guard and Borrower.

BORROWERS SLIP

Borrowed from DAR Provincial Office, Roxas City, the following:


Quantity Item
1
2
3
4
5

Purpose:

Approved by:
PARPO II Name & Signature of Borrower

Date: ________________________ Date Borrowed:


Date Returned:

To be accomplished in TRIPLICATE for GSS file, Security Guard and Borrower.


Borrower

Borrower
Borrower
BORROWERS SLIP

Borrowed from DAR Provincial Office, Roxas City, the following:


Quantity Item
1 1 UNIT LAPTOP ACER BLACK RVIC-158-2011- 05-10-0009
2

Purpose:

Approved by:

GRACE M. TUNGUIA
OIC PARPO I Name & Signature of Borrower

Date: Date Borrowed:


Date Returned:

To be accomplished in TRIPLICATE for GSS file, Security Guard and Borrower.

If you are going to return the Items, please have it signed by the Property Custodian for proper recording purposes
that you returned the equipment according to its quantity, specifications and status of each item returned.

BORROWERS SLIP

Borrowed from DAR Provincial Office, Roxas City, the following:


Quantity Item
1 1 UNIT LAPTOP ACER BLACK RVIC-158-2012- 05-10-0029
2

Purpose:

Approved by:

GRACE M. TUNGUIA
OIC PARPO I Name & Signature of Borrower

Date: Date Borrowed:


Date Returned:

To be accomplished in TRIPLICATE for GSS file, Security Guard and Borrower.

If you are going to return the Items, please have it signed by the Property Custodian for proper recording purposes
that you returned the equipment according to its quantity, specifications and status of each item returned.

BORROWERS SLIP

Borrowed from DAR Provincial Office, Roxas City, the following:


Quantity Item
1 1 UNIT LAPTOP ASUS BLACK DARCO-GFPS-16-05-10-776
2

Purpose:

Approved by:

GRACE M. TUNGUIA
OIC PARPO I Name & Signature of Borrower

Date: Date Borrowed:


Date Returned:
To be accomplished in TRIPLICATE for GSS file, Security Guard and Borrower.

If you are going to return the Items, please have it signed by the Property Custodian for proper recording purposes
that you returned the equipment according to its quantity, specifications and status of each item returned.
Borrower

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Borrower

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Borrower
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