Appendix 63 - RIS

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Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : ___ DARPO CN Fund Cluster 101

Division : _______ STOD Responsibility Center Code : ______________________


Office : ________________________________________________ RIS No. : _____________________________________
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks

PC Ink - Epson 003 (Black) 4

PC Ink - Epson 003 (Yellow) 4

PC Ink - Epson 003 (Magenta) 4

PC Ink - Epson 003 (Cyan) 4

Ream Bookpaper - Long 5

Ream Bookpaper - A4 5

PC Sign pen (0.3) 3

PC Ballpen (black) 10

PC Correction Tape 6

PC Binder Clip (small) 30

PC Binder Clip (medium) 25

PC Binder Clip (large) 20

PC Long Folder (sky blue) 50

Bottle ALCOHOL 2

PC Calculator 1

PC Photopaper Sticker (A4) 40

Purpose:

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

Signature :
Printed Name : ERIKA J. HERICO MARIA ELENA A. DEL ROSARIO JOSEPHINE C. MEDALLA ERIKA J. HERICO

Designation : BUDGET ASSISTANT OIC PCAO/MARPO AO-IV GEN SERVICES BUDGET ASSISTANT

Date : December 31, 2021

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