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Appendix 63
REQUISITION AND ISSUE SLIP
Entity Name : CHED RO1 Fund Cluster : ______________________
Division : ________________________________ Responsibility Center Code : ______
Office : _________________________ RIS No. : RIS2025-00388
Stock No. Unit Description Quantity Stock Available? Issue
Yes No Quantity Remarks
2692 PACK RECHEARGEABLE BATTERY WITH CHARGER, 2800MAH, AA, 4 pieces per pack 1 / 1
2544 PC SIGN PEN, gel, 0.5 mm, black 6 / 6
2560 PC SIGN PEN, gel, 0.5 mm, blue 1 / 1
307 PC FLASH DRIVE, 64GB capacity 2 / 2
176 PC CORRECTION TAPE, 10m 1 / 1
2685 CART TONER CARTRIDGE, HP 76A LASERJET, BLACK 1 / 1
2309 BOX STAPLE WIRE, standard, 26x6 2 / 2
2229 CART INK, EPSON-003, BLACK 1 / 1
2230 CART INK, EPSON-003, MAGENTA 1 / 1
2231 CART INK, EPSON-003, YELLOW 1 / 1
2232 CART INK, EPSON-003, CYAN 1 / 1
218 REAM PAPER, Multi-Purpose, A4, 80gsm 1 / 1
219 REAM PAPER, Multi-Purpose, Legal, 80gsm 1 / 1
222 PC PENCIL, Lead/Graphite, With Eraser 1 / 1
Purpose: FOR RECORDS UNIT 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: 2025-09-09