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ADM/10/2011

PURCHASE REQUISITION
For Office Supplies

Date :

Vendor Name : Register No :


Items Ordered

Purpose : Necessity Replacement Enlargement Other


Justification :

Requestor : Date :

Approved by Supv : Date :

Gen.Admin.Head : Date :

VP Finance & GA : Date :

General Adm. / Purchasing Dept. Use only :


Method of Payment
Requisition No. : Vendor :
PO No. : PO Dispatching Date :
Cheque No. : Date Paid :

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