PURCHASE REQUISITION FORM

SGB/FOR/AD/02-02
SGB/FOR/ADM/02-02(1)

REQUESTOR DETAILS

Fixed Asset Consumables IT items Others, please state

Name : Olga Isparova Dept. & Company : KMC Oiltools Ltd. Turkmenistan

Designation : Administration Date requested : 21.06.06

REQUISITION DETAILS

No Name of Items & Description Quantity

1 Color Printer HP DJ5943 1 pc

2 Printer/Scanner/Copir (3 in 1) Canon MF3110 1 pc

3 Seagate Barracuda 7200 80 Gb 1 pc

Remarks :
1 Item needs for printing cards with COLOR photos for registration of our foreign staff to Immigration Service,
and for office needs, for example, printing Safety Signs.

Requested by, Recommended by, Approved by,

……………………………………. ……………………………………. ……………………………………. …………………………………….

Date : Olga Isparova Name : Name : Name :
Date : Date : Date :

DELIVERY DETAILS (To be filled up by Admin. Dept)

PO No. :
DO No. :
Date Received :

Note : For recommending and approving authority, please refer to DAL.