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Material Request and Issuance Form

Cost center: SUGAR & MOLASSES WAR Date Required : 2023-07-12


Budget Type: Operational
MRIF No. : 1000259378 Activity : DDV
Account Charged : 630010 Recipient : SMWD REFINED
Movement Type : 201
Capex No : null
Issuing Plant : 1000 Issuing Store Loc. : 1110
Receiving Plant : 1000 Receiving Store Loc. : null

Mat Code Description Qty UOM Actual Qty Withrawal Date

502699 "Fuel, Gasoline" 35.00 L _________ _______________

Remarks: ________________________________________________________________________
Requested By: 400700 Head Approved By: Debbie Vallar
This is a computer-generated document This is a computer-generated document
No Signature Required No Signature Required

Issued By: ___________________ Received By: ___________________


Signature over Printed Signature over Printed
Name/Date Name/Date

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