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Name of Project

PROJECT
Request for Concrete Supply N0: 00

To: Batching plant Name Date Submitted: --/--/----


Address: country/city/Region Casting Date: --/--/----
Tel: +964 --- --- -- --

This is to Request Supply of Concrete to:


Project Title: Project Name Project Maneger :
Project Ref No: --/---- Name of project maneger
Project Address: country/city/Region Tel : +964 --- --- -- --

Details of Concrete
Class / Delivery Casting
Grade Spec Ref Qty Interval Time Remarks
According
to mix From 00:00
3
(--)Mpa design (--) M To 00:00 (---)hr

Yours truly,

Project Manager

Name: Signature:

Contractor

Name: Signature:

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