Inventory Supply Cover Sheet Page 3
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4INVENTORY SUPPLY COVER SHEET
JUNE 30, 2013
Department Code:
Department Name:
Department:
Division:
CHECK ONE:
• Budget Type:
Expense
Capital
• Inventory System:
Periodic (Physical)
Perpetual
Valuation Method Used:
Total for Department (Dollar Value):
(Total Amount from Detailed Report)
Date(s) Physical Inventory was taken:
Prepared By:
Attested By:
Signature: _________________________
Signature: _________________________
Title:
Title:
Phone No.:
Phone No.:
E-mail address:
E-mail address:
Date:
Date:
THIS FORM CAN BE DOWNLOADED FROM THE COMPTROLLER'S WEBSITE, COMPLETED AND RETURNED
ELECTRONICALLY.
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