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REQUISITION AND ISSUE SLIP

Entity Name : BOTBOTONES ELEMENTARY SCHOOL Fund Cluster : ____01-Regular____

Division : TARLAC PROVINCE Responsibility Center Code : 381-2018-03


Office : SANTA IGNACIA DISTRICT RIS No. : 2018-03-0001
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
SET EPSON INK 1 ü 1
PCS T6641 BLACK 2 ü 2

Purpose: Use for printing of Graduation Program

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

Signature :
Printed Name : JESUSA FILIPINA D. LARANANG FILIPINAS L. GALVADORES RONAN M. SIBBALUCA JESUSA FILIPINA D. LARANANG
Designation : Teacher I P-I School Property Custodian Teacher I
Date : 3/16/2018 3/16/2018 3/19/2018 3/18/2018
INVENTORY CUSTODIAN SLIP
Appendix 59
Entity Name: BOTBOTONES ELEMENTARY SCHOOL 106666
Fund Cluster : 01 - REGULAR ICS No.: 2018-03-0006

Amount Inventory Estimated Useful


Quantity Unit Description
Unit Cost Total Cost Item No. Life
24 PCS 25.00 600.00 MEDALS BIG
82 PCS 20.00 1,640.00 GOLD REG
2 PCS 350.00 700.00 PLAQUE

Received from: Received By:

FILIPINAS L. GALVADORES RONAN M. SIBBALUCA


Signature over Printed Name Signature over Printed Name

Principal I SCHOOL PROPERTY CUSTODIAN


Position / Office Position / Office

3/20/2018 3/20/2018
Date Date
INVENTORY CUSTODIAN SLIP
Appendix 59
Entity Name: BOTBOTONES ELEMENTARY SCHOOL 106666
Fund Cluster : 01 - REGULAR ICS No.: 2018-03-0008

Amount Inventory Estimated Useful


Quantity Unit Description
Unit Cost Total Cost Item No. Life
1 PCS 126.32 126.32 TARP 2X4
1 PCS 1,578.95 1,578.95 TARP 5X20

Received from: Received By:

FILIPINAS L. GALVADORES RONAN M. SIBBALUCA


Signature over Printed Name Signature over Printed Name

Principal I SCHOOL PROPERTY CUSTODIAN


Position / Office Position / Office

3/21/2018 3/21/2018
Date Date
INVENTORY CUSTODIAN SLIP
Appendix 59
Entity Name: BOTBOTONES ELEMENTARY SCHOOL 106666
Fund Cluster : 01 - REGULAR ICS No.: 2018-03-0009

Amount Inventory Estimated Useful


Quantity Unit Description
Unit Cost Total Cost Item No. Life
5 REAM 200.00 1,000.00 HARD COPY LONG
50 PCS 4.50 225.00 BROWN ENV L
9 PACK 30.00 270.00 WORX L
1 ROLL 179.73 179.73 RIBBON (SATIN)

Received from: Received By:

FILIPINAS L. GALVADORES RONAN M. SIBBALUCA


Signature over Printed Name Signature over Printed Name

Principal I SCHOOL PROPERTY CUSTODIAN


Position / Office Position / Office

3/21/2018 3/21/2018
Date Date
INVENTORY CUSTODIAN SLIP
Appendix 59
Entity Name: BOTBOTONES ELEMENTARY SCHOOL 106666
Fund Cluster : 01 - REGULAR ICS No.: 2018-03-0005

Amount Inventory Estimated Useful


Quantity Unit Description
Unit Cost Total Cost Item No. Life
1 SET 1,180.00 1,180.00 EPSON INK
2 PCS 295.00 590.00 T6641 BLACK

Received from: Received By:

FILIPINAS L. GALVADORES RONAN M. SIBBALUCA


Signature over Printed Name Signature over Printed Name

Principal I SCHOOL PROPERTY CUSTODIAN


Position / Office Position / Office

3/19/2018 3/19/2018
Date Date

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