Appendix 63 Requisition and Issue Slip

FMB office supply form for requisition and Issue slip

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REQUISITION AND ISSUE SLIP
Entity Name : __________________________________

Fund Cluster : ______________________

Division : _______________________________________________
Office : ________________________________________________

Requisition
Stock No.

Unit

Description

Responsibility Center Code : ______________________
RIS No. : _____________________________________

Stock Available?
Quantity

Yes

No

Issue
Quantity

Remarks

Purpose:

Requested by:

Approved by:

Issued by:

Signature :
Printed Name :
Designation :
Date :

157

Received by: