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Appendix 63

Republic of the Philippines

Department of Education
DIVISION OF SOUTH COTABATO

REQUISITION AND ISSUE SLIP

Entity Name :(name of the agency/entity) Fund Cluster :(fund cluster name/code)

Division :(name of the requisitioning division/office) Responsibility Center Code : _____________

Office : (department) RIS No. : 2022-04-0001 (year/month/code)


Requisition Stock Available? Issue

Stock No. Unit Description Quantity Yes No Quantity Remarks

OS-001 ream Bond Paper 10 √ 10 70 gsm.

SE-001 unit Puncher 1 √ 1

SE-002 unit Printer 1 x

***Nothing Follows***

Purpose: (brief explanation of purpose pertaining to the stock being requisitioned)

Requested by: Approved by: Issued by: Received by:

Signature :

Printed Name : Requesting Personnel School Head Property Custodian Requesting Personnel

Designation :
Date :
AO 6/15/02

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