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PROPERTY TRANSFER REPORT

Entity Name : _______________________________ Fund Cluster : _____

From Accountable Officer/Agency/Fund Cluster : __________________________ PTR o! : ______

To Accountable Officer/Agency/Fund Cluster : ____________________________ "ate : _________

Transfer Ty#e: $c%ec& only one'

"onation Relocate

Reassignment Ot%ers $(#ecify' _________________

Date Acquired Property No Description Amount

Reason !or Trans!er:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Appro"ed #y: Released$%ssued #y: Recei"ed #y:

Si&nature :

Printed Name :

Desi&nation :

Date :

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Appendix 76

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Condition o!PPE