REQUISITION AND ISSUANCE SLIP

MAGALANG
LGU

DIVISION:__________ RESPONSIBILITY R.I.S. NO.___________ DATE_______________

CENTER:____________
OFFICE:
BARANGAY
SAN AGUSTIN CODE:______________ S.A.I. NO. ___________ DATE_______________
MAGALANG,
PAMPANGA

REQUISITION ISSUANCE

STOCK NO. UNIT DESCRIPTION QUANTITY AMOUNT QUANTITY TOTAL REMARKS

PURPOSE:______________________________________________________________________________________
______________________________________________________________________________________

REQUESTED BY : APPROVED BY : ISSUED BY : RECEIVED BY

SIGNATURE : : : JOSEPHINE PALLASIGUI

PRINTED JOSEPHINE PALLASIGU : ALLAN PINEDA : JOSEPHINE PALLASIGUI

NAME :

DESIGNATION BRGY. TREASURER : PUNONG BARANGAY : : BRGY. TREASURER

: : :
DATE