PRODUCTION MATERIAL INDENT Date: 01.05.

2023

Department Name

Order # : Statement number Ordering request to Stores c

Date: Date Purchase c
(Tick whichever applicable)

Date Quantity Description Last Ordered Quantity Current Stock Required Qty.

9/9/2019 2 Description 25 5 20

Total 20

Purpose: Please include the statement

Write other text here…

(Fill This Section If In-Store Replenishment Not Possible, else Strikeout)

QUOTATIONS/TENDER RECEIVED
Approved Supplier/ Service
Supplier/ Service Provider Date Price Offered Remarks
Provider YES/NO [Write Name]

Recommended /SupplierService
PO #
Provider

Reason(s) if not the lowest offer

Proposed By: Signature Date

Proposed By: Signature Date

Doc. Tag: OMC-000-4-019-01-0