Bellows CORPORATION

Intent to Buy
Employee Scrap Sales

Employee Name: __________________________________ Date: ______________

Department: _____________________
Contact No: ______________________

Qty Item/s

_________________________________
Employee Signature over Printer Name

(Note: You will be notified once the item/s you intent to purchase will be awarded.)

To be filled-up by Accounting Dept

Received: Mode of Disposal:

Date _______________ Direct Award

By _______________ Raffle
Form Ver. 06/2010
 ILIGAN CEMENT CORPORATION
Employee Scrap Sales Form

Name: ________________________________ Date: ______________

Dept: _____________________
Mode of Disposal: Items Available: _______________

Direct Award Item Location: _________________

Raffle

Qty Particulars Amount

Total

_____________________________
Employee Signature over Printer Name OR #: ____________
date : ____________

ILIGAN CEMENT CORPORATION

Employee Scrap Sales Form

Name: ________________________________ Date: ______________

Dept: _____________________
Mode of Disposal: Items Available: _______________

Direct Award Item Location: _________________

Raffle

Qty Particulars Amount

Total

_____________________________
Employee Signature over Printer Name OR #: ____________
date : ____________