Entity Name:GENERAL LUNA CENTRAL ELEMENTARY SCHOOL

Division :DEPED DIVISION OF SIARGAO ResposibilityCenter Code:_________________

Office: General Luna Central Elementary School No:____________________
REQUISITION
NAME OF PUPIL
Description QUANTITY
MALE
1.Alcala, Jhehoo ,Tesiorna Washable Face Mask 1
2.Alcantara, Zhairel-Nick, Elizalde Washable Face Mask 1
3.Alutaya, Anthony, Espejon Washable Face Mask 1
4.Aurora, Chiz, Escabal Washable Face Mask 1
5.Borga, Christian Revien,- Washable Face Mask 1
6.Bosito Jr.Renante, Cinco Washable Face Mask 1
7.Caling, Aaron Jay, Revil Washable Face Mask 1
8.Escalana, Renjie Justine ,Tud Washable Face Mask 1
9.Espejon, Nathan, Eliot Washable Face Mask 1
10.Fundal, Christopher, Calvario Washable Face Mask 1
11.Garrido, Mike Ian, Dacera Washable Face Mask 1
12.Kuizon, Jarred, Escobia Washable Face Mask 1
FEMALE
1.Alceso, May Ann, Ivannez Washable Face Mask 1
2.Antepasado, Cherry Mae, Adolfo Washable Face Mask 1
3.Antepasado, Jane Carla,Espejon Washable Face Mask 1
4.Antepasado, Keseah Jean, Araquel Washable Face Mask 1
5.Barredo, Jonalyn, Gutierez Washable Face Mask 1
6.Boticario, Marian, Escabal Washable Face Mask 1
7.Boticario, Sandra, Alipayo Washable Face Mask 1
8.Boticario, Trisha Lyka, Adcol Washable Face Mask 1
9.Buo, Angela, Congreso Washable Face Mask 1
10.Darlo, Darlene Joy, Salilin Washable Face Mask 1
11.Dingding, Krizta Marie, Escamillan Washable Face Mask 1
12.Espejon, Aiza, Leovit Washable Face Mask 1
13.Espejon, Britany, Alipayo Washable Face Mask 1
14.Ferrer, Jaira Kim, Jumandos Washable Face Mask 1
15.Forcadilla, April, Bunga Washable Face Mask 1
16.Generol, Jessie Hanne,- Washable Face Mask 1
17.Isidoro, Heart, Gloria Washable Face Mask 1
18.Kuizon, Rian Mae ,Antipasado Washable Face Mask 1
19.Pelicane, Rica, Noguerra Washable Face Mask 1
20.Roma, Dianna, Crisologo Washable Face Mask 1
21.Solloso, Angel, Omandac Washable Face Mask 1
22.Solloso, Riza Mae, Blasé Washable Face Mask 1
TOTAL 34

Purpose: Washable Face Mask to be used by pupils when going to school

Requested by: Approved by:

Signature
 Requested by: Approved by:

Signature
Printed Name ROSBE G. TRAYA ELMA L. TERAYTAY
Designation: Teacher III Principal IV
Date:
de:_________________
_______
Received by
Date and Signature:

Issued by:
Issued by:

KAREN P. FORCADILLA
Teacher I