Request Slip

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Requisition Slip

To Whom it may Concern:

Please be advice that I, _______________________________________, a resident of


_____________________________________________________________________, will borrow the
following item/s, to wit

Item/s No. Pcs

Chair(s) __________________
Table/s __________________
Tent/s __________________
Sound System __________________

That the said borrowed item/s will be use for the:

[ ] Birthday Celebration
[ ] Nuptial Entourage
[ ] Funeral Mourning of _____________________________________
[ ] Baptismal Celebration of _________________________________
[ ] Other/s (pls SPECIFY) ___________________________________
________________________________________________
________________________________________________
I promise to abide by the security, protection and preservation of the said item/s
borrowed and whatever damage/s incurred therein shall be subject to by the
undersigned borrower.

Request/Borrowed by: Approved by:

___________________________ Hon. Emiliano B.


Ramos
Barangay Chairman

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