Sample Requisition form

LIBERTY PLAZA MANAGEMENT CORPORATION

    

                                   REQUISITION FORM

            

From-: Name                                                               Department/ Section -:

Date -:

SRL NO	DESCRIPTION OF ITEM/ DETAILS	PRICE	NAME OF SHOP/UNIT
01	Flash drive (4GB) Kingston	Rs.1850/=	Lake House B/S
		Rs.1750/=	Premium stationary *
		Rs.1800/=	Ss stationary

Signature-:                                                                                           ………………………

                                                                                                            Authorized Officer