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MATERIAL RETURN SLIP

(REPORT NO: 26071-100-GPX-)

MIS NO. REPORT NO. MRS-DEA-00001


MIS DATE DATE
ITEM DESCRIPTION

REASON OF RETURN

The Subcontractor shall properly classify, keep in order and return the received equipment and materials in accordance with the material handling
procedure. The Subcontractor shall be liable for any loss and damage of the received equipment and materials whilst it is in his care and custody.

ATTACHMENTS: REFER. DOC. NO. ATTACHED


1. MIS DOCUMENTS □ YES □ NO
2. REFERENCE DOCUMENTS □ YES □ NO
3. OTHERS ( ) □ YES □ NO

ITEM NAME IDENT DESCRIPTION RETURN Q'TY


REQUEST
No (DEVIATION SIZE UNIT REMARK
IDENT CODE TAG NO Q'TY GOOD SCRAP
DESCRIPTION)

1 LIST TERLAMPIR

10

11

12

SUB-CONT CONTRACTOR
CONSTRUCTION FMC
RETURNEE QAQC
HEC REKIND PP HEC REKIND PP RECEIVER

NAME

SIGNATURE

DATE

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