San Manuel High School

Department of Education
Region III – Central Luzon
Tarlac City School Division
San Manuel High School
San Manuel Tarlac City
Inventory Transfer Form
Unit Quantity Description Remarks Place of Transfer Transfer to
pc 34 Computer System Unit for programming N/A Mam Cristine Simbul
pc 32 Computer Monitor for programming N/A Mam Cristine Simbul
pc 32 Computer Keyboard for programming N/A Mam Cristine Simbul
pc 28 Computer Mouse for programming N/A Mam Cristine Simbul
pc 4 Computer Network Switch N/A Mam Cristine Simbul
pc 41 Computer Uninterrupted Power Supply N/A Mam Cristine Simbul
pc 1 Computer Speaker with Subwoofer N/A Mam Cristine Simbul

pc 5 Computer System Unit for Animation N/A Mam Cristine Simbul

pc 5 Computer Monitor for Animation N/A Mam Cristine Simbul
pc 5 Computer Keyboard for Animation N/A Mam Cristine Simbul
pc 5 Computer Mouse for Animation N/A Mam Cristine Simbul
pc 5 Light Box N/A Mam Cristine Simbul
pc 13 Light Box Disc N/A Mam Cristine Simbul
pc 4 Animation Table N/A Mam Cristine Simbul
pc 5 Computer Projector N/A Mam Cristine Simbul
pc 5 Digital Camera N/A Mam Cristine Simbul
pc 5 Auto Voltage Regulator N/A Mam Cristine Simbul
pc 4 Brother Printer N/A Mam Cristine Simbul

Note: This document must accompany any transferred equipment.

Prepared by: Received by:

OLIVER M. SUMABAT CRISTINE SIMBUL

Signature over Printed Name Signature over Printed Name

Date: ______________ Date: ______________

mm/dd/yyyy mm/dd/yyyy
 San Manuel High School
Department of Education
Region III – Central Luzon
Tarlac City School Division
San Manuel High School
San Manuel Tarlac City
Inventory Transfer Form
Unit Quantity Description Remarks Place of Transfer Transfer to
pc 1 Computer System Unit SHS Faculty Office Mam Cristine Simbul
pc 1 Computer Monitor SHS Faculty Office Mam Cristine Simbul
pc 1 Computer Keyboard SHS Faculty Office Mam Cristine Simbul
pc 1 Computer Mouse SHS Faculty Office Mam Cristine Simbul
pc 3 Uninterrupted Power Supply SHS Faculty Office Mam Cristine Simbul

Note: This document must accompany any transferred equipment.

Prepared by: Received by:

OLIVER M. SUMABAT CRISTINE SIMBUL

Signature over Printed Name Signature over Printed Name

Date: ______________ Date: ______________

mm/dd/yyyy mm/dd/yyyy
 San Manuel High School
Department of Education
Region III – Central Luzon
Tarlac City School Division
San Manuel High School
San Manuel Tarlac City
Inventory Transfer Form
Unit Quantity Description Remarks Place of Transfer Transfer to
pc 1 Computer System Unit SHS Guidance Office Mam Cristine Simbul
pc 1 Computer Monitor SHS Guidance Office Mam Cristine Simbul
pc 1 Computer Keyboard SHS Guidance Office Mam Cristine Simbul
pc 1 Computer Mouse SHS Guidance Office Mam Cristine Simbul
pc 1 Uninterrupted Power Supply SHS Guidance Office Mam Cristine Simbul

Note: This document must accompany any transferred equipment.

Prepared by: Received by:

OLIVER M. SUMABAT CRISTINE SIMBUL

Signature over Printed Name Signature over Printed Name

Date: ______________ Date: ______________

mm/dd/yyyy mm/dd/yyyy
 San Manuel High School
Department of Education
Region III – Central Luzon
Tarlac City School Division
San Manuel High School
San Manuel Tarlac City
Inventory Transfer Form
Unit Quantity Description Remarks Place of Transfer Transfer to
pc 1 Uninterrupted Power Supply Tilesetting room Mam Cristine Simbul
pc 1 Uninterrupted Power Supply Tourism room Mam Cristine Simbul
pc 1 Uninterrupted Power Supply Hairdressing room Mam Cristine Simbul
pc 2 Uninterrupted Power Supply TVL stock room Mam Cristine Simbul
pc 1 Brother Printer TVL stock room Mam Cristine Simbul

Note: This document must accompany any transferred equipment.

Prepared by: Received by:

OLIVER M. SUMABAT CRISTINE SIMBUL

Signature over Printed Name Signature over Printed Name

Date: ______________ Date: ______________

mm/dd/yyyy mm/dd/yyyy