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Appendix 63
REQUISITION AND ISSUE SLIP
Entity Name : CHED RO1 Fund Cluster : ______________________
Division : ________________________________ Responsibility Center Code : ______
Office : _________________________ RIS No. : RIS2025-00591
Stock No. Unit Description Quantity Stock Available? Issue
Yes No Quantity Remarks
252 PC STAPLER, standard type, 26x6 2 / 2
2229 CART INK, EPSON-003, BLACK 4 / 4
232 BOTTLE STAMP PAD, Ink, 30ml 1 / 1
2560 PC SIGN PEN, gel, 0.5 mm, blue 4 / 4
157 PACK BATTERY, dry cell, AAA, 2 pieces per blister pack 1 / 1
Purpose: 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: 2025-12-26