DocuSign Envelope ID: 0A2BB2AD-F1BD-4EB4-BEC3-3F5B2800216E

WORLD HOPE INTERNATIONAL

PURCHASE REQUISITION FORM
FOR VEHICLE SERVICING RECORDS
Date of Last Date of Curernt
To: Osman T Sesay Date Needed: 08-Jan-24 Service Service

Milage of Last Milage of

Location: MAKENI Project Code: ALLOCATION Service Current Service

Purpose: Request for spares for maintenanc of AMS 573

Account
# ITEM DESCRIPTION QUANTITY UNIT Department Program Sector Code Donor Budget Line
Code
1 Engine Oil Engine Oil 12 Liter 50710 PR WE 006
2 Oil filter Oil filter 1 Pcs 50710 PR WE 006
3 Fuel filter Fuel filter 1 Pcs 50710 PR WE 006
4 Filter guide Filter guide 1 Pcs 50710 PR WE 006
5 Arm bushing Arm bushing 3 Pcs 50710 PR WE 006
6 Trackrod ends Trackrod ends 1 Set 50710 PR WE 006
7 Absorber bushings Absorber bushings 8 Pcs 50710 PR WE 006
8 Spring bushings Spring bushings 12 Pcs 50710 PR WE 006

9 Water Separator Water Separator 1 Set 50710 PR WE 006

10 Wheel cyclinder Wheel cyclinder 50710 PR WE 006
11 Brake pad Brake pad 1 Set 50710 PR WE 006
12 Rubber brake oil Rubber brake
Stablizer oil
bushing 2 Gallon 50710 PR WE 006
13 Stablizer bushing front front 4 Pcs 50710 PR WE 006
14 Brake liner Brake liner 1 Set 50710 PR WE 006
15 Tin grease Tin grease 2 Tin 50710 PR WE 006
16 Record disk Record disk 1 Pcs 50710 PR WE 006
17 Front hub seal Front hub seal 1 Pcs 50710 PR WE 006
18 Absorber bushings Absorber bushings 1 Pcs 50710 PR WE 006
19 Parklight bulb Parklight bulb 1 Pcs 50710 PR WE 006
20 Universal joint Universal joint 1 Pcs 50710 PR WE 006
1/8/2024
Prepared by / Signature/ Date: 1/8/2024 Approved by / Signature/ Date:

John Njailah Sesay Elijah Kihara

Osman Sesay 1/9/2024

Received by: Date received: