MATERIAL GATE PASS (NON RETURNABLE) To be filled in triplicate

Name of Sender Department Pers. No. Designation:

Deepak Singh PPC E-0683 Team Member

Material Description Material Code Quantity & Unit Total Wight in Kg

CIRCLIP (RETAINING RING) D472- 30 88265 4 PCS NA

INSUALTING DISC MACHINED 2769258 1 PCS NA
INSULATING PIN DIA. 60 (raw) 2769278 20 PCS NA

Name of Party (Receiver): M/s Andritz Hydro Pvt. Ltd.

49/5 Km Milestone,Mathura road,Village Prithla, Dist. Palwal,HARYANA-120102
Address:
Contact Person : Mr. Rakesh Rathi(PPC)
Purpose: For assembly of Thrust Head
Tentative Time / Date of Return: Actual Time/Date of Return:

Person taking the Material: Name: Sandeep Richaria Signature:

Requested By
Authorized By Issued By
(sign. &
30.05.2013 (Sign. & date): 30.05.2013 (Sign. & date): 30.05.2013
date):

For Security use Only

Sl. No.: Date: Time:
Mode : Vehicle No.: Signature :
ANDRITZ HYDRO Private Ltd. Page 112 of 112
D-17, MPAKVN Industrial Area, Mandideep, Dist.-Raisen - 462046 Document8

Approx Value 110000 INR

For Project  C.00000268.02.99