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WASTE MATERIALS REPORTNo. 2

Entity Name: COURT OF TAX APPEALS Fund Cluster: 01101101

Place of Storage: Property and Suppy !"#"$"on

ITEMS FOR DISPOSA

ITEM %T&. UNIT !ESCRIPTION

RECOR! OF SALES

Official Receipt

No. Date Amount

1 pc. 2 Bidet

***Nothing follows***

TOTAL

Certified Correct: Disposal Approved:

'A'& ROSE C. 'ELLON

Property Officer ignature o!er Printed Name of "ead

Agency#$ntity or his#her Authori%ed

Representati!e

CERTIFICATE OF INSPECTION

& here'y certify that the property enumerated a'o!e was disposed of as follows(

&tem Destroyed

&tem old at pri!ate sale

&tem old at pu'lic auction

&tem )ransferred without cost to

+ertified +orrect( ,itness to Disposal(

ignature o!er Printed Name of ignature o!er Printed Name of

&nspection Officer ,itness

Date( 2)1*)201+

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