| LGU : | MAGSAYSAY, OCCIDENTAL MINDORO | Fund : | |
| Division : | FPP Code : | Date: | |
| Office : | RIS No. : | Budget Ref No. |
| Requisition | Issuance | ||||
|---|---|---|---|---|---|
| Stock No. | Unit | Description | Quantity | Quantity | Remarks |
| 1 | 0 | ||||
| Requested by: | Approved by: | Issued by: | Received by: | |
|---|---|---|---|---|
| Signature : | ||||
| Printed Name : | ||||
| Designation : | ||||
| Date : |
| LGU : | MAGSAYSAY, OCCIDENTAL MINDORO | Fund : | |
| Division : | FPP Code : | Date: | |
| Office : | RIS No. : | Budget Ref No. |
| Requisition | Issuance | ||||
|---|---|---|---|---|---|
| Stock No. | Unit | Description | Quantity | Quantity | Remarks |
| 1 | 0 | ||||
| Requested by: | Approved by: | Issued by: | Received by: | |
|---|---|---|---|---|
| Signature : | ||||
| Printed Name : | ||||
| Designation : | ||||
| Date : |