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OFFICE SUPPLIES REQUEST FORM for the Month of JUNE No: 5

Department: Technical Name: Cynderilla Matoguina Position: Document Controller

Date Filed: 06/27/23 Date Received:


Requestor
Admin

REQUEST RELEASE
DATE RCVD REMARKS
QT ITEMS REQUESTED S. RCV'D
Y1 Rubber stamp with name and signature & position o. BY

1 Ink for stamp BLACK


1 HDMI CABLE for tv and laptop
2 BOX OF COLORED CHALK Box
25 A4 PUNCHED MULTIFUNCTIONAL FILE black
1 PENCIL SHARPENER BIG
1 Short band paper
1 Paper clip 78mm 78mm
1 Whiteboard eraser
2 Filing cabinet 4 layers 900x450x1800mm
1 Black marker
1 Neon highlighter
3 Correction tape

**** Nothing Follows ****

Requested By: Noted By:

Cynderilla Matoguina Engr. Jerico Lorenzo

Document Controller Department Head


Signature over printed name Signature over printed name

Approved By: Received By:

Shiela Cahanap Jinky Jean Anay

Project Director Admin


Signature over printed name Signature over printed name
SAMPLE

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