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Appendix 63
REQUISITION AND ISSUE SLIP
Entity Name : CHED RO1 Fund Cluster : ______________________
Division : ________________________________ Responsibility Center Code : ______
Office : _________________________ RIS No. : RIS2026-00401
Stock No. Unit Description Quantity Stock Available? Issue
Yes No Quantity Remarks
2577 BOTTLE GLUE, all purpose, 130 grams 2 /
2233 CART INK, BROTHER BT-D60, BLACK 1 /
2235 INK, BROTHER BT-5000, CYAN 1 /
2236 CART INK, BROTHER BT-5000, MAGENTA 1 /
2237 CART INK, BROTHER BT-5000, YELLOW 1 /
2229 INK, EPSON-003, BLACK 1 /
2230 INK, EPSON-003, MAGENTA 1 /
2231 BOTTLE INK, EPSON-003, YELLOW 1 /
2232 BOTTLE INK, EPSON-003, CYAN 1 /
218 REAM PAPER, Multi-Purpose, A4, 80gsm 2 /
Purpose: Office Use
Requested by: Approved by: Issued by: Received by:
Signature:
Printed Name: RICKY CHAN NYMPHA N. BUENIO RICKY A. CERA
Designation: Project Technical Staff Chief, Administrative Officer Supervising Administrative Officer/ Supply Officer
Date: 2026-10-07