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Appendix 63
REQUISITION AND ISSUE SLIP
Entity Name : CHED RO1 Fund Cluster : ______________________
Division : ________________________________ Responsibility Center Code : ______
Office : _________________________ RIS No. : RIS2026-00361
Stock No. Unit Description Quantity Stock Available? Issue
Yes No Quantity Remarks
338 CART INK , EPSON C13T664200 (T6642), CYAN 3 / 3
339 CART INK, EPSON C13T664300 (T6643), MAGENTA 2 / 2
220 PACK PAPER, parchment, A4, 80 gsm, 100 sheets 1 / 1
Purpose: Refill supplies for LGSO
Requested by: Approved by: Issued by: Received by:
Signature:
Printed Name: KRISTINE CASUGAY NYMPHA N. BUENIO RICKY A. CERA
Designation: PTS- K12 Chief, Administrative Officer Supervising Administrative Officer/ Supply Officer
Date: 2026-09-09