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Appendix 63
REQUISITION AND ISSUE SLIP
Entity Name : CHED RO1 Fund Cluster : ______________________
Division : ________________________________ Responsibility Center Code : ______
Office : _________________________ RIS No. : RIS2025-00295
Stock No. Unit Description Quantity Stock Available? Issue
Yes No Quantity Remarks
1974 PC HAND GLOVES, rubber 1 / 1
2645 BOTTLE 2 / 2 Insufficient
2631 PC MOP HANDLE, screw type, aluminum handle 3 / 3
2632 PC SCRUB BRUSH 13 / 13
2657 BOTTLE CLEANER, toilet bowl and urinal, 500 ml 18 / 18
2448 ROLL TOILET TISSUE PAPER, 2 ply 11 / 11
2051 ROLL TRASHBAG, XXL size, 10pcs 65 / 65
Purpose: OFFICE USE
Requested by: Approved by: Issued by: Received by:
Signature:
Printed Name: FLORANTE MOLINA NYMPHA N. BUENIO RICKY A. CERA
Designation: Administrative Aide III Chief, Administrative Officer Supervising Administrative Officer/ Supply Officer
Date: 2025-05-26