MCEI - LOGISTICAL SUPPORT DEPARTMENT

PROJECT MATERIAL REQUISITION FORM

REQUEST RECEIVED BY:

REQUEST NUMBER PMRF-2017-EE-010 REQUEST DATE / TIME 9/6/2017 8:45 AM
PROJECT / COST CENTER SUBIC BAY YACHT CLUB SIGNATURE
REQUESTOR JON HERMIE BUSCANO - 380 - P.E.
REQUESTED DELIVERY DATE / TIME NAME
DELIVERY LOCATION SBYC, SBMA, OLONGAPO ZAMBALES / PICK-UP
RECEIVER NAME ANGELO GAJETO / RUEL FABIAN EMP. NO.
RECEIVER CONTACT NUMBER 639154083472
REFERENCE DOCUMENT DATE

ITEM ITEM CAT. DOC. REF. QUANTITY

DESCRIPTION UNIT REMARKS
NO. NO NO. REQUESTED DELIVERED

1 Kyoritsu 8030 Digital Phase Indicator set 1

2 -NOTHING FOLLOWS-
3
4
5
6
7
8
9
10
11
12
13

REQUESTOR: COST CENTER APPROVAL: MATR'L RECEIVER: DELIVERY NOTES:

SIGNATURE SIGNATURE SIGNATURE

NAME NAME NAME

EMP. NO. EMP. NO. EMP. NO.

DATE DATE DATE

PMRF - 28JUN17