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Appendix 63
REQUISITION AND ISSUE SLIP
Entity Name : CHED RO1 Fund Cluster : ______________________
Division : ________________________________ Responsibility Center Code : ______
Office : _________________________ RIS No. : RIS2026-00183
Stock No. Unit Description Quantity Stock Available? Issue
Yes No Quantity Remarks
2619 PC STAMP PAD, felt 2 / 2
2705 PC BALLPEN, 1.0 mm 5 / 5
2309 BOX STAPLE WIRE, standard, 26x6 1 / 1
2559 BOTTLE ALCOHOL, Spray, Ethyl, 300ml 1 / 1
2649 PC SCISSORS, Symmetrical / Asymmetrical 1 / 1
252 PC STAPLER, standard type, 26x6 1 / 1
Purpose: FOR OFFICE USE
Requested by: Approved by: Issued by: Received by:
Signature:
Printed Name: PERFECTO DULUEƑA NYMPHA N. BUENIO RICKY A. CERA
Designation: Administrative Aide VI Chief, Administrative Officer Supervising Administrative Officer/ Supply Officer
Date: 2026-05-06