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Requisition Order
Centre Code
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Ordering Date /8^o4-t-ot/
APPIY { } Equipment as belows.

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Dateofpaynrent . lR _o4:_4e//
Name ofBankl
Location , _"Jifr_fL,-._ I
Amountof paid _,
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Ileposit details : O Cheque I DD No. :

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