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Appendix 63
REQUISITION AND ISSUE SLIP
Entity Name : CHED RO1 Fund Cluster : ______________________
Division : ________________________________ Responsibility Center Code : ______
Office : _________________________ RIS No. : RIS2025-00210
Stock No. Unit Description Quantity Stock Available? Issue
Yes No Quantity Remarks
218 REAM PAPER, Multi-Purpose, A4, 80gsm 10 / 10
2229 CART INK, EPSON-003, BLACK 1 / 1
2230 CART INK, EPSON-003, MAGENTA 1 / 1
339 CART INK, EPSON C13T664300 (T6643), MAGENTA 2 / 2
340 CART INK, EPSON C13T664400 (T6644), YELLOW 2 / 2
338 CART INK , EPSON C13T664200 (T6642), CYAN 2 / 2
2004 BOX CLIP, Backfold, 1 1/4 width, 12pcs 2 / 2
2143 BOX CLIP, Backfold, 1 width, 12pcs 2 / 2
2560 PC SIGN PEN, gel, 0.5 mm, blue 2 / 2
180 PC ENVELOPE, Documentary, Legal 5 / 5
Purpose: FOR OFFICE USE
Requested by: Approved by: Issued by: Received by:
Signature:
Printed Name: MELVIE LEGASPINA NYMPHA N. BUENIO RICKY A. CERA
Designation: Project Technical Staff Chief, Administrative Officer Supervising Administrative Officer/ Supply Officer
Date: 2025-05-06