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Py) Stock Request LAGUNA WATER {fiernarGrder fe} Proje Novciviy TIT Buz POC Code ] \Warecose Cons No Fiesenaton No (To be filed by requesting department / BA) No. Remarks L fs LJ | TEI Tanase lesve'0: 5 invouso sey Remarks: (Please check one box only) new neauesion C1 Bxseaton previous appears SFI No Derwent by Contractor ‘AUTHORITY TO DEDUCT ‘We agree to change to our account he amount of materials being wihdraum inthis SRIS and authorize LINC to deduct rom our bing or any receivables should we fall to present required documents reverse the AIR within 4 days trom receipt of the materials Printed Name and Signature of Contractors Representative Requested by name signature Goods anve No Recones my Posted by AR Rect Approved by name signature Distrbuton- Oral (isrehouse) Yelow (Contract Pk (Department 84) ‘ocuman Ho,

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