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Appendix 63
REQUISITION AND ISSUE SLIP
Entity Name : CHED RO1 Fund Cluster : ______________________
Division : ________________________________ Responsibility Center Code : ______
Office : _________________________ RIS No. : RIS2025-00482
Stock No. Unit Description Quantity Stock Available? Issue
Yes No Quantity Remarks
2229 CART INK, EPSON-003, BLACK 2 / 2
2230 CART INK, EPSON-003, MAGENTA 2 / 2
2231 CART INK, EPSON-003, YELLOW 2 / 2
2232 CART INK, EPSON-003, CYAN 2 / 2
2755 PC CUSTOMIZED NOTEBOOK AND PEN, A5 SIZE, NAVY BLUE, 80 LEAVES, 1.00 MM BLACK PEN, WITH PRINT 100 / 100
Purpose: For FSTP and ERASMUS Caravan
Requested by: Approved by: Issued by: Received by:
Signature:
Printed Name: AL GERALD BARDE NYMPHA N. BUENIO RICKY A. CERA
Designation: Education Program Specialist II Chief, Administrative Officer Supervising Administrative Officer/ Supply Officer
Date: 2025-10-21