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CONCRETE ORDER FORM

CUSTOMER NAME: AL JEHANS GULF HORIZONS Date: ###


PROJECT NAME: Jumeira Villa , Jumeira 1 , Dubai

LOCATION: Backside Dubai Zoo, Jumeira Road ,Dubai

M/s. CEMEX
Attn.:Mr. Joseph / Nazish
Tel No: 8004270 (Tollfree), 04 - 3147394 / 3147480 / 3147481 / 3147486
Fax : 04 - 3408760

DATE NEEDED: ____________________________________________ Mr. Ilyas Momin (Production Manager)- 050 6542206

Time Start
Item
Mix Type Mix Code Qty (Time at Slump
Pump (Y/N): Temperature Technician
Remarks
No. # pumps reqd Controlled Needed (Y/N)
Site)

300 C 320 C

Contact Person: ____________________________________________

Contact Number: ____________________________________________

Requested by: Approved by:

Site Engineer PM / CM

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