AD- F21

Rev: 02
Date: 11/8/2009
BREM MAJUSDN BHD
Project: Purchase Requisition No.
PROPOSED CONSTRUCTION AND COMPLETION OF
RECTIFICATION AND ANCILLARY WORKS TO
EXISTING MAIN ROADS AT PART OF ZONE 6
INCLUDING HANDING OVER TO MAJLIS BANDARAYA
SEREMBAN (NILAI BRANCH), NILAIUTAMA 2, MUKIM
20NE6 - rKÉ - 005
SENTUL, DAERAH SEREMBAN, NEGERI SEMBILAN
DARUL KHUSUS.
Date Request P.O No.
Justification Mateagl ktchhcapn Work of K.C Dra,n Wall
AllRequisition Must Enclose Calculation of Quantities

Item Description Unit Qty Unit Price Amount

(0Qrse SOnd load
Fine Sand logd
34 ag9rogar? load

Pywood 12 mnn
6 Iyng ire br rebar
we nail (2 ) box
Wre ngi (22)
.
Concete nail (24)
back hoe breaker Unit

ABDUL JAL
PROJECT MANAGER
1MUHAMMAD IQBAL
Site Engineer
BREM MAJUSDN BHD
Requested By:. Checked By: HP 944-36867047
BREM MAJU SDN BHD (HQ. QS)
Date: (Co. No.: 93569-H) Date:

26l3024
BQQy: Last Total Purchase

This Purchase: Total Purchase To Date

Within Revised By

Prepared By:
Date:

Approved By:
Recommended By: (Director)
(Contract Manager) Date:
Date: