Form 74-01-F1 (Rev.4)

Y N Ref. No. Date : 26-Mar-14 Delivery Date 5-Apr-14 :

Project: Upgrade Power Transmission at SAOO Purpose (for QAQC Department use) :

Cost Center: 080-0109 Delivery Place :

S.N.Material Code

(Al Gihaz)

Material Code

(Client / Project)Unit Quantity Remarks

..

1 Each 3

2 Each 3

3 Box 10

NOTHINGSFOLLOWS --------------------- -------------------------------

Attachments:

BOQ Specifications Brand Quotation Photos Others:

Requester (Name & Signature)

Received by Date

Approval by

Approval by

-----------------------------------

NOTE:

Jonathan C Gamba #7422 Dnyanesh N Padaval Imad Babbili Saleh Al Ghamdi

Budget Approval

Site/project/ Dept. Manager

NORTH,CENTRAL & SOUTH AREA SAOO

PROJECT

Buyer Name:

Handover Date:

Signature

For Procurement

------------------------------------------------------------------------------------------

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Aindar Site Office (North Region)

Supply Request Form Stock Confirmation Attached

Description

Heavy Duty STAPLER (for thick papers) (for 23/10 & 23/13)

Heavy Duty STAPLE WIRE /PIN (for 23/10 & 23/13)

Heavy Duty PUNCHER (3 holes) used for thick papers

Budget Price

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