□ Material PIC FCM / ADM S.

M
□ Equipment
Purchase Request □ Consumables
Approval

□ Others
Request No. : /KINE PROJECT JO/WP4/V/2022 06-Jun-22
Department : □ Construction □ FC HSE □ E&I □ Stl-str □ HVAC □ Mech. □ QC □ Others
This Time Required
\ Description Specification Unit Remark
Q'ty U/ Price Amount Date

1 Pylox (Spray tint) Red and Black Ea 6

2 Measure 5m Ea 3

3 USB 32Gb Ea 2

4 Batrai AAA Ea 5

5 Batrai AA Ea 3

6 Paper Cup Lot 7

Total

Project Name INDONESIA KINE PROJECT JO I hereby request for purchase as above.

Requested By : (Sign)
Site Name KINE PROJECT JO
Requested Date :