Annex 21



A. This form shall be prepared by the Barangay Treasurer for the issuance of supplies. This form shall be accomplished as follows:

1. ICS. No. - the ICS shall be numbered as follows:

2. Quantity - number of units given to the employee or user of the supplies
3. Unit - Unit of measurement
4. Description - brief description or details of the items issued to the employee/user
5. Estimated Useful Life - estimated useful life of the item issued

B. The ICS shall be prepared in two copies to be distributed as follows:

Original - Barangay Treasurer
2nd copy - Requesting person

C. The recipient of the supplies shall sign the Received by portion and indicate the date of receipt. The official issuing the supplies shall sign the Issued by portion.

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