Siirakoad
PROCUREMENT REQUISITION (Standard & Sub-Contract)
Priec/beparement Name FIS7S6FATON Readiness Projet aa [pate | 15/0200 [FRO morren OSD
ae : RC lacirg pipes rr ‘A Thunene
Item No. | Activity Code | Ledger Code | Description BOQ No. ‘Stock Code. Unit, Quantity, Date Required
1 RC jacking pipes with HDPE Liner as per following deals
IACjacking pipe 10 2000mm,00-3280rmm mw | as
Note: the the requested Qty of RC jacking pipes asa
replacement of R Gravity for the surface water ine
Comply with QCS 2014 and project specs,
Note: Supply agreement should include material éelvery
teste
_ Prepared by _ Reviewed by Approved by
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nae ftana Terman Tarek Trabieah deh aan Radi shunnae
Signature LS ee re"
~ ProjecStorekeeper ~ Auallbityn Main Store eo
TD oneck Yes Purchase Order No. | Purchase Order Date ‘Selected Suppliers
ee
No
Signature | Does
INF-PRC-SF-02-01 Rev. 2.0
as 1
aX ee
Date: 10-Mar-2020,