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WORK ORDER CLOSURE Sahjest Sip issue of Materia ; Ret”: Work One No | Sfrs)siaasstated: © 7-03-2055 nh Plenty... tae [Sse ial foraboe work onl m0 4s such above wont orer my please be trate as else’ and further iste miter agains his Wor ‘Refine Industies Limited {ina LIM Ceritiction ined On 092045. ott ‘Work Order Number SDSS ‘Vendor Code 340300 — Work Ones e709 en Nane POLY PLAST CHEMI PLANTS INDIA mi Wor Oke Chore Das 20 oa a Work nkSton Chin Pa Desripin RIL-SE2 Sever 0 StongrLeeion :A00 cs tana fect a [enn [Sane fase ps0 Ta 26m fee [mia ox Aon Dal Dusot Catenin: AY Wh. cats e ecmwesy fe as me Employee Name : HOD Name ate precteee by EP Nonter sit drow EPNamber ate (wsen- ate ouster Sanam Kara Reliance Industries Ltd. Date: 09.09.2020 Final Reconciliation of Industrial Gas Cylinder ‘Name of the Contractor: POLY PLAST CHEMI PLANTS INDIA P LTD Work Ordr No: 31323513 Plant 5015, To, In chrge, CMC industrial Gas Yard RIL, Proje Stores JANINAGAR Subject 1.0AS Raconiiton Statement Respected Sie, We have completed the job against the above refered work oder. n order to iit the final closure of WO, Kindly se Final Insta Css Cylinder Reconeition Statement. Signature & Stamp of contactor tyne: (Gor ito) Mobo CONFIRMATION BY GAS YARD “Tick the folowing a apleale: 1) Thestatment of Clinker Reconciliation stacked 2) tis cofimed that hee is wo pending case fr retum of empty eylindes fom contractor gains the above work order 3) Itis confirmed that he contactor has Cylinders outstanding for physical recut Gas Yard and the amount of Reenvery towards these any i flows: (i) Noof Cylinders &Type ofGas + AVL. (i) Proposed Recover: Amount = Py (Gil) Conair grastent towards recovery atachud (Yes/No): Nfl Be No: 10005632 (CMC SEZ.Gas Yard) 1 (08092020 1720,

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