Purchase Request Form

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PURCHASE REQUEST FORM

Purchase Request No.: 01/PR/Project/I/2023

Requested by : M. Fadly Cost Centre :


Department : Project Site Date : Jan 3. 2023
Client : SGRE

No. Item Description Unit Qty Remarks


Merek : Petzl Material(s): ABS (acrylonitrile
1 Safety Helmet butadiene styrene), nylon, polycarbonate, high- pcs 4
strength polyester, polyethylene.
2 Body Harness
3 Safety Shoes Merek : Krisbow Size 40 pcs 2
4 Safety Shoes Merek : Krisbow Size 41 pcs 1
5 Safety Shoes Merek : Krisbow Size 42 pcs 1

Requested by Approved by

Fadly A Andy Sebayang


Project Manager Director

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