PMT MACHINES LTD.

Works : 178, Po. : VITOJ, VILLAGE : KADACHALA, TA : HALOL - 389 350

Requisition For NonReturnable Challan

Requisition No. : WS 1718 057 Print On : 13/03/2018

Requisition Dt. : 13/03/2018

Send To : Ixar Material Testing Laboratory
C-18/85, Krishna Industrial Estate,

Opp. BIDC, Gorwa,

Vadodara
VADODARA , GUJARAT

Sr. No. Description UOM Qty. Rate Value Tag Remark

1 Destructive Test for WPQR & WQT. & Nos 6.00 500.00 3,000.00 Make Work Order
Macro Test for skill verification of welder
for DHY & DHV Weld Joint. other details
as per Annexure - 1

Remark : Plate Details for WPQR & WQT & Macro Test 1) 350 x 150 x 20 mm - 1 qty. 2) 200 x 150 x 20 mm - 1 qty 3)
200 x 150 x 16 mm - 4 Qty. Please send this all plate for lab testing

Prepar By: Mr. Amit Shah

(Authorised Signature)

Date: 13/03/2018

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