Appendix 63
REQUISITION AND ISSUE SLIP
Entity Name : DepEd - Samar Division Fund Cluster : _______
Division : __ SAMAR Responsibility Center Code : _______
Office : ________________________________________________RIS No. : _____________________
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
PCS. ROOF GI SHEET 10 FT. 8
PCS. ROOF GI SHEET 12 FT. 20
GAL. ROS PAINT BRIGHT GREEN 1
GAL. ROS PAINT HAPPY DAYS 3
LITER BOARD SLATING PAINT 3
PCS. PAINT BRUSH 1'' 2
PC. PAINT BRUSH 2'' 1
PC. PAINT BRUSH 3'' 1
ROLL PLAIN GI SHEET 2
PACK CONCRETE NAILS 1
PCS. GRAVEL 6
PACK HARDINAILS 2
PC. MARINE PLYWOOD 1/2 1
PC. MARINE PLYWOOD 1/4 1
PCS. PADLOCK 2
KG. COMMON NAILS 1'' 1
KG. COMMON NAILS 2'' 3.5
KG. COMMON NAILS 3'' 4
KG. COMMON NAILS 4'' 5
PACK VULCASEAL 6
M PLASTIC GREEN 7
LITER QDE PAINT ORANGE 1
PCS.
BOX ROLLER BRUSH 4'' 31
STAPLE WIRE
STEEL 10MM RSB
PCS. 6
PCS. STEEL 9MM RSB 3
PCS. TEX SCREW 2'' 30
KG. TIE WIRE 3
Purpos PACK
Requested by: Approved by: Issued by: Received by:
Signature :
Printed Name : JHOANA M. ESTRELLES MERCEDES BROZAS NELSON GABUTIN KISELYN R. BERGULA
Designation : Teacher School Head Property Custodian Teacher
Date :
