Republic of the Philippines

Department of Education (DepEd)

Region VIII (Eastern Visayas)
Division of Leyte
-oOo-
TANAUAN NATIONAL HIGH SCHOOL
Tanauan, Leyte

MEMORANDUM RECEIPT

School: TANAUAN NHS ________________________________ M.R. # ___________________

(Name of Accountable Officer) Classification: _____________
School Year: ______________

Agency/Office Address DATE RENEW

Tanauan NHS Tanauan, Leyte

I acknowledge to have received from _____________________________, Property Custodian of

Tanauan National High School, the following properties which shall be used in ______________________
and for which I am Accountable.

Condition Date
Source
Property
Qty. Unit NAME OF ITEM/DESCRIPTION of Remarks
A B C D Acquired Number
Fund

Legend: A- (New); B- (Used in Good Condition); C- (Used in Fair Condition); D- (Used in Poor Condition)

Remarks: _________________________________________________________________________________

___________________________________ __________________________ ________________________

(Signature over Printed Name of (Position/Designation) (Date)
Accountable Officer)

Recommending Approval:

_______________________________ _________________________________
Supply Officer Department Head

APPROVED:

_________________________________
School Principal