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Appendix 63
REQUISITION AND ISSUE SLIP
Entity Name : CHED RO1 Fund Cluster : ______________________
Division : ________________________________ Responsibility Center Code : ______
Office : _________________________ RIS No. : RIS2025-00050
Stock No. Unit Description Quantity Stock Available? Issue
Yes No Quantity Remarks
2559 BOTTLE ALCOHOL, Spray, Ethyl, 300ml 1 / 1
252 PC STAPLER, standard type, 26x6 1 / 1
Purpose: 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: 2025-02-10