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REPUBLIKA NG PILIPINAS

KAGAWARAN NG EDUKASYON
Rehiyon XI
Sangay ng Davao del Sur
PUBLIC NATIONAL HIGH SCHOOL

ISSUANCE SLIP

___________________ ___________________
Grade/Section Date

Quantity Unit PARTICULARS Brand of the Items Total Remark

I hereby certify that the supplies/materials requisitioned are necessary and will be used solely for
_______________________________________.

_____________________________ Adviser/Teacher
Designate Supply Officer

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