You are on page 1of 1

Fugro Egypt Managment System

PURCHASE REQUISITION
PR No.: PR TYPE: Other

DATE: Tuesday, January 23, 2024 DEPARTMENT ROV

DELIVERY DATE: PROJECT No.:

Cost Centre Spares / Maintaince For IRM Equip. Service Line RESEQUIP-IRM Fugro SAE
CLIENT:

Part No. / Est. Unit Price or


Item Description / Specs Req. Qty Recommended Vendor Unit Total
Model Budget
Complete all
1 Epoxy material 4.00
fields

2 0.00

3 0.00

4 0.00

5 0.00

6 0.00

7 0.00

8 0.00

9 0.00

10 0.00

11 0.00

12 0.00

13 0.00

14 0.00

15 0.00

16 0.00

17 0.00

18 0.00

19 0.00

20 0.00

Requester Mahmoud Eldinary Signature: SUB-TOTAL 0.00

Line / Project Manager Mohamed Medany Signature: DISCOUNT 0.0% 0.00

Date: Tuesday, January 23, 2024 VAT 0.0% 0.00


GRAND TOTAL 0.00
CURRENCY EGP
Justification/Reason for Purchase:
Required for nexus housing fixation

F-1055_PUR | January 2020 | R2


page 1 of 1 | Uncontrolled If Printed

You might also like