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Appendix 63
REQUISITION AND ISSUE SLIP
Entity Name : CHED RO1 Fund Cluster : ______________________
Division : ________________________________ Responsibility Center Code : ______
Office : _________________________ RIS No. : RIS2025-00016
Stock No. Unit Description Quantity Stock Available? Issue
Yes No Quantity Remarks
2599 BOTTLE DIFFUSER ESSENSE, 500 ml, peppermint 3 / 3
2579 PACK STICKER PAPER, matte, A4, 10 sheets 2 / 2
180 PC ENVELOPE, Documentary, Legal 100 / 100
2560 PC SIGN PEN, gel, 0.5 mm, blue 2 / 2
Purpose: FOR OFFICE USE
Requested by: Approved by: Issued by: Received by:
Signature:
Printed Name: SHELDONNE ROSARIO NYMPHA N. BUENIO RICKY A. CERA
Designation: LA UNION Chief, Administrative Officer Supervising Administrative Officer/ Supply Officer
Date: 2025-01-24