REQUISITION AND ISSUE SLIP

Barangay: [Barangay] City/Municipality: [LGU] RIS No.:

Tel.No.: Province: [Province] Date:
Requisition Issuance
Unit Particulars Quantity Qty Remarks

Purpose:

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

Signature over printed name Signature over printed name Signature over printed name Signature over printed name
[Designation] [Designation] [Designation] [Designation]
Date: __________