CDR Contract No.

:
MRA No.: 3 9

MATERIAL REQUISITION APPROVAL (MRA) Work order No.:

Work order date:

Cost Code:
Department: Date of Requisition: 20/08/2019

Lebanese University North Campus - Faculties of Engineering and Fine Arts

Operation & Maintenance
Destination
Unit Latest Qty.
Manufacturer & Total Price US Warranty
S.No. MATERIAL DESCRIPTION
Country
Supplier Qty Unit Price (VAT Excluded)
Delivery Period
Cat. Location Equipment available
US$ Date in store

1 Main Desk Fleifel 5 PC 900.00 4500.00 4 _

2 Meeting Seats Fleifel 2 PC 170.00 340.00 4 _

Grand Total Price US$ (VAT Excluded)

4,840
Reason of Requisition Reference Letter No.: Supplier Currency: Dollar
Reference Daily Report No.: Currency Rate:
Reference PM No.: Earlier MRA No.: -
Reference DM No.: Earlier Letter No.: -
CONTRACTOR NAME EMPLOYER REPRESENTATIVE APPROVAL
NAME : Mohammad Metlej NAME: Ahmad Charif NAME :
DESIGNATION : SIGNATURE :
SIGNATURE : SIGNATURE : APPROVAL DATE : APPROVAL EXPIRY DATE :"6 Months after Approval Date"
DATE : 20/08/2019 Note: Approval Rate for a/m Qty only
Cat 1: Based on old approved rate Cat 2: Based on threethree
quotation
quotations Cat 3: Rate for emergency cases only Cat 4: Based on one quotation
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