Purchase Requisition Form

Requisition # PR-13433

Date January 27, 2023

Requestor Name: John Vincent A. Corona Phone:

Contact Number and Email: john.corona@lrmc.com.ph Department Code Cost Code
9150049248 M308 S2200-M308
Date Needed Shipping Method / Inco Terms
Attach all System Spec / Acceptance criteria/SOW February 10, 2023 Best
For Test
Testing Pending
# Qty U/M Stock # and Description Diar?
Required
duration SOH AMU
PR/PO
(Yes/No) in days

Service for Station Platform Extension Project

1 1 Lot Maximo Code: New Item No N/A N/A N/A N/A N/A
Stock No: New Item:
Note:
Capex - Identifier: S2200 - Station Improvements
*** NOTHING FOLLOWS ***

Please see attachment for complete specifications

Justification/Comments:

Buildings and Facilities needed this Service PR of Station Platform Extension for Station Improvement Project under Capex.

Requestor's Signature:
This is NOT a Purchase Order

Material Management Section Standard & Procedure Section

(MMS) (S&P)

Maintenance Planning
Engineering Support Manager
Section (MPS)

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