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AREA / BRANCH: RIYADH

Project Name: Pro-duct factory

DATE: 09.01.2011 Code No:

PURCHASE / SERVICE REQUEST FORM Request No : 15

Date Needed Nominated


S. No. Description Unit Quantity
at Site Supplier
Remarks

1 AIR HOSE (AS PER SAMPLE) Roll 1 10.01.11


2 xxx Nothing following xxx

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Approved By: Requested by:

Mohammad Khazma

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