It's 3 different approaches, all depicted on the one plate:
VOR/DME,
LOC/DME, &
ILS/DME
You must have the aids specified in the title ie VOR & DME or LOC & DME or ILS & DME, unless an alternative method is specified in the notes eg crossing radials for step-down altitudes.
MDA or DA/DH will be specified on the plate for each of the 3 approaches.