Annex G-9

REQUISITION AND ISSUE SLIP

Division:_________________________

Office: __________________________

Responsible Center

Code ___________

RIS NO. RIS2025-00418 Date: September 17, 2025

SAI No. ______________ Date: ___________

Requisition Stock Available Issuance

Purpose:Records use

Requested by:

SHELDONNE ROSARIO
LA UNION
Date: September 17, 2025

Approved by:

NYMPHA N. BUENIO
Chief, Administrative Officer

Issued by:

MYRELLE FAITH D. MINA
ES II/Supply Officer Designate

Received by:

________________

Annex G-9

Division:_________________________

Office: __________________________

Responsible Center

Code ___________

RIS NO. RIS2025-00418 Date: September 17, 2025

SAI No. ______________ Date: ___________

Requisition Stock Available Issuance

Purpose:Records use

Requested by:

SHELDONNE ROSARIO
LA UNION
Date: September 17, 2025

Approved by:

NYMPHA N. BUENIO
Chief, Administrative Officer

Issued by:

MYRELLE FAITH D. MINA
ES II/Supply Officer Designate

Received by:

________________

Print Requisition Create New Request

Details

Requisition No.

Request Date

Requested by:

Status

Purpose

Warehouse

Added by:

Admin

Logtime:

2025-09-17 21:53:30

Unit:

Stock QTY:

QTY:

Item Description	Unit	Quantity	Price	Amount
CLIP, Backfold, 2 inches, 12pcs	BOX	1	80.00	80.00
				80.00