REQUISITION AND ISSUE SLIP

DEPARTMENT OF AGRARIAN REFORM Agency Division Office PMEU DARPO Requisition Stock No. Unit Description Responsibility Center Code: RIS No. SAI No. Issuance Quantity Quantity Remarks

Purpose:

Requested by: Signature Printed Name Designation Date

Approved by:

Issued by: Received by:

PARO II

REQUISITION AND ISSUE SLIP

DEPARTMENT OF AGRARIAN REFORM Agency Division Office PMEU DARPO Requisition Stock No. Unit rms rms pcs pcs box box rolls rolls pc pcs pcs Description A4 BOND PAPER LONG BOND PAPER LONG FOLDER FASTENER GEL PEN PENCIL FOLDER SCOTCH TAPE PAPER CLIP (SMALL) PENTEL PEN WHITE MAILING ENVELOPE ===================================== Responsibility Center Code: RIS No. SAI No. Issuance Quantity Quantity 10 10 50 5 10 5 50 5 5 5 50 Remarks

Purpose:

supplies for 1st quarter of 2012.

Requested by: Signature Printed Name Designation Date Engr. GINA S. ALMONTE PMEU Head

Approved by: LUISITO A. JACINTO

PARO II

Issued by: Received by:

SUPPLIES AVAILABILITY INQUIRY

DEPARTMENT OF AGRARIAN REFORM Agency Division Office Stock No. PMEU DARPO Responsibility Center Code Status of Stock No.

Item Description Unit Quantity LOG BOOK (300 sheets) pcs 15 ======================================================= NOTHING FOLLOWS

Purpose/Remarks: To be used in receiving Form 1-A (Data Gathering Form for the ARB Index Card) from all municipalities.

Inquired by: Signature Name Designation Date PLEIDA BENTER ASST. STAT.

Status provided by (Accounting Div.): Signature Name Designation Date REYNALDO HERRERA CLERK III