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REQUISITION AND ISSUE SLIP

PHILIPPINE ARMY
Agency

DIVISION 6 ID, PA RIS NO: __________


OFFICE 62DRC, 6ID, PA
RESPONSIBILITY CENTER CODE SAI NO:___________
REQUISITION ISSUANCE
TOTAL
STCK NR UNIT DESCRIPTION QTY UNIT COST
COST
212,709
1 ea 3,731.75
Individual First Aid Kit (IFAK)  57 .75
x-x-x-x-x-x-x-x-x-x-x-x--x-x-x-x-x-x- Nothing Follows -x-x-x-x-x-x-x-x-x-x-x-x-x-x

BASIS: For use 62DRC, 6ID,


SOURCE: Division Warehouse
AUTHORITY: Issuancce Directive Nr TOS (IFAK) 2020-03-30-21 dated 30 March 2020.
AUTHORITY: HPA Issuance Directive Nr TOS 2019-09-0309 dtd 17 September 2019.
Remarks: For use of (CSC Class 506, 507, 518, 519 and 520-2018) C.Y. 2019.

Request By: Approved for Issue: Issued By: Received By:


Signature
Printed
Name

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