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Appendix 63
REQUISITION AND ISSUE SLIP
Entity Name : CHED RO1 Fund Cluster : ______________________
Division : ________________________________ Responsibility Center Code : ______
Office : _________________________ RIS No. : RIS2025-00003
Stock No. Unit Description Quantity Stock Available? Issue
Yes No Quantity Remarks
337 CART INK , EPSON C13T664100 (T6641), BLACK 1 / 1
2229 CART INK, EPSON-003, BLACK 4 / 4
2230 CART INK, EPSON-003, MAGENTA 2 / 2
2231 CART INK, EPSON-003, YELLOW 2 / 2
2232 CART INK, EPSON-003, CYAN 2 / 2
2448 ROLL TOILET TISSUE PAPER, 2 ply 12 / 12
2309 BOX STAPLE WIRE, standard, 26x6 5 / 5
218 REAM PAPER, Multi-Purpose, A4, 80gsm 5 / 5
2544 PC SIGN PEN, gel, 0.5 mm, black 6 / 6
238 ROLL TAPE, transparent, 24mm 5 / 5
2577 BOTTLE GLUE, all purpose, 130 grams 1 / 1
156 PACK BATTERY, dry cell, AA, 2 pieces per blister pack 4 / 4
Purpose: RECORDS USE
Requested by: Approved by: Issued by: Received by:
Signature:
Printed Name: DIANNE JOYCE MONTEMAYOR NYMPHA N. BUENIO RICKY A. CERA
Designation: Administrative Officer III Chief, Administrative Officer Supervising Administrative Officer/ Supply Officer
Date: 2025-01-20