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Appendix 63
REQUISITION AND ISSUE SLIP
Entity Name : CHED RO1 Fund Cluster : ______________________
Division : ________________________________ Responsibility Center Code : ______
Office : _________________________ RIS No. : RIS2025-00420
Stock No. Unit Description Quantity Stock Available? Issue
Yes No Quantity Remarks
2549 PC BALLPEN, 0.5 mm, black 2 / 2
2579 PACK STICKER PAPER, matte, A4, 10 sheets 5 / 5
Purpose: OFFICE SUPPLIES
Requested by: Approved by: Issued by: Received by:
Signature:
Printed Name: MARLON PADUA NYMPHA N. BUENIO RICKY A. CERA
Designation: Project Technical Staff Chief, Administrative Officer Supervising Administrative Officer/ Supply Officer
Date: 2025-09-18