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PURCHASE REQUISITION

Project Title: Shuaqaiq Phases 3 Water Transmission System Date: 3-Jul-18

Location: Shuqaiq - Jizan PR Control No.:

Building No.: ________________________________ (CSI) Division Title / No.:

Consumable : Yes No

Subject: Request for Site Quality Office Use Only


ITEM
CSI No. DESCRIPTION QTY UNIT
NO.
1 White Board 3'x4' 1 Pc
2 Whiteboard Eraser Pad 1 Pc
3 Non Permanent Whiteboard Marker (Black/Blue) 1 Pack
4 Office Steel Cabinet (4 Door) Hanger Type 1 Pc
5 Filing Folder Hanger 100 Pc
6 Ballpen (Blue/Red) 1 Pack
7 Correction Pen 2 Pc
8 Clear Tape, 2 inch 2 Pc
9 Glue/Paste 2 Pc
10 Staple Pin 2 Carton
11 Highlighter/Stabelo 2 Pack
12 Scissor 2 Pc
13 Post-it notes (Small/Medium/Large) 4 Pc
14 Marker (Black) 4 Pc
15 Ruler 2 Pc
16 Staple Remover 2 Pc
17 Stapler 2 Pc
18 Puncher 2 Pc
19 Scientific Calculator 2 Pc
20 Pencils 2 Pack
21 Pencil Sharpener 2 Pc
22 Empty CDs/DVDs 50 Pc
23 Jacket for CDs 50 Pc
24 Rubber Bands 2 Box
25 Paper Clips (Small/Medium/Large) 2 Carton
26 Transparent Plastic Files Folders 1 Rim
27 A4 Clear Plastic Punch Punched Pockets Filing 1 Rim
28 Erasers 2 Pc
29 Binder Clips (Small/Medium/Large) 2 Carton
30 Brown Envelop 1 Rim

Signature : Signature :
Requester Name : Jay Laurence M. Montejo Checked by: Muhamad Salah
Designation : DCC-QA/QC Designation : Storekeeper

DCN: Page 1 of 32 FM:CO:029 / Rev 00


Date : Date :

Approval

Engr. Randy Villaruel - QA/QC Manager Engr. Hossam Alk


DEPARTMENT HEAD PROJECT MANAGER

DATE DATE

DCN: Page 2 of 32 FM:CO:029 / Rev 00


SE REQUISITION

3-Jul-18

(optional)

REMARKS

DCN: Page 3 of 32 FM:CO:029 / Rev 00


Engr. Hossam Alkalaa
PROJECT MANAGER

DATE

DCN: Page 4 of 32 FM:CO:029 / Rev 00


PURCHASE REQUISITION

Project Title: Shuaqaiq Phases 3 Water Transmission System Date: 3-Jul-18

Location: Shuqaiq - Jizan PR Control No.:

Building No.: ________________________________ (CSI) Division Title / No.:

Consumable : Yes No

Subject: Request for Document Control Stamp


ITEM
CSI No. DESCRIPTION QTY UNIT
NO.

1 Titled: MASTER SET 1 Pc

2 Titled: CONTROLLED COPY 1 Pc

3 Titled: UNCONTROLLED COPY 1 Pc

4 Titled: RECEIVED STAMP with Date 1 Pc

5 Titled: ISSUE FOR CONSTRUCTION 1 Pc

6 Titled: SUPERSEDED 1 Pc

7 DISTRIBUTTION see attached sample # 7 1 Pc

8 Stamp Inks 3 Pc

DCN: Page 5 of 32 FM:CO:029 / Rev 00


Signature : Signature :
Requester Name : Jay Laurence M. Montejo Checked by: Muhamad Salah
Designation : DCC-QA/QC Designation : Storekeeper
Date : Date :

Approval

Engr. Randy Villaruel - QA/QC Manager Engr. Hossam A


DEPARTMENT HEAD PROJECT MANA

DATE DATE

DCN: Page 6 of 32 FM:CO:029 / Rev 00


SE REQUISITION

3-Jul-18

(optional)

REMARKS

DCN: Page 7 of 32 FM:CO:029 / Rev 00


Engr. Hossam Alkalaa
PROJECT MANAGER

DATE

DCN: Page 8 of 32 FM:CO:029 / Rev 00


PURCHASE REQUISITION

Project Title: Shuaqaiq Phases 3 Water Transmission System Date: 8-Sep-18

Location: Shuqaiq - Jizan PR Control No.:

Building No.: ________________________________ (CSI) Division Title / No.:

Consumable : Yes No

Subject: Request for Site Quality Office Use Only


ITEM
CSI No. DESCRIPTION QTY UNIT
NO.

1 Ballpen (Blue/Red) 1 Pack

2 Correction Pen 3 Pc

3 Clear Tape, 2 inch 3 Pc

4 Glue/Paste 3 Pc

5 Staple Pin 3 Carton

6 Highlighter/Stabelo 3 Pack

7 Scissor 2 Pc

8 Post-it notes (Small/Medium/Large) 4 Pc

9 Marker (Black) 2 Pc

10 Ruler 2 Pc

11 Staple Remover 2 Pc

12 Stapler 2 Pc

13 Puncher 2 Pc

14 Scientific Calculator 2 Pc

15 Pencils 2 Pack

16 Pencil Sharpener 2 Pc

17 Jacket for CDs 50 Pc

18 Rubber Bands 3 Box

19 Paper Clips (Small/Medium/Large) 3 Carton

20 Transparent Plastic Files Folders 1 Rim

21 A4 Clear Plastic Punch Punched Pockets Filing 1 Rim

22 Binder Clips (Small/Medium/Large) 6 Carton

23 Paper Cutter 1 Pc

24 Box Cutter 3 Pc

25 Plastic Binding Cover, A4 2 Rim

26 Plastic Binding Cover, A3 2 Rim


DCN0010 Page 9 of 32 FM:CO:029 / Rev 00
27 Box File, A3 2 Rim

Signature : Signature :
Requester Name : Jay Laurence M. Montejo Checked by: Muhamad Salah
Designation : DCC-QA/QC Designation : Storekeeper
Date : Date :

Approval

Engr. Randy Villaruel - QA/QC Manager Engr. Hossam Alk


DEPARTMENT HEAD PROJECT MANAGER

DATE DATE

DCN0010 Page 10 of 32 FM:CO:029 / Rev 00


SE REQUISITION

8-Sep-18

(optional)

REMARKS

DCN0010 Page 11 of 32 FM:CO:029 / Rev 00


Engr. Hossam Alkalaa
PROJECT MANAGER

DATE

DCN0010 Page 12 of 32 FM:CO:029 / Rev 00


PURCHASE REQUISITION

Project Title: Shuaqaiq Phases 3 Water Transmission System Date: 7-Nov-18

Location: Shuqaiq - Jizan PR Control No.:

Building No.: ________________________________ (CSI) Division Title / No.:

Consumable : Yes No

Subject: Request for Site Quality Office Use Only


ITEM
CSI No. DESCRIPTION QTY UNIT
NO.
Binding Wire, 16mm, 23 Loops, Gama, Double Loop Wire,
1 2 Box
A4 Size

Binding Wire, 12mm, 23 Loops, Gama, Double Loop Wire,


2 2 Box
A4 Size

Binding Wire, 8mm, 23 Loops, Gama, Double Loop Wire,


3 2 Box
A4 Size
4 Puncher 3 Holes 1 Pc

Signature : Signature :
Requester Name : Jay Laurence M. Montejo Checked by: Muhamad Salah
Designation : DCC-QA/QC Designation : Storekeeper
Date : Date :

Approval

Engr. Randy Villaruel - QA/QC Manager Engr. Hossam Alk


DEPARTMENT HEAD PROJECT MANAGER

DATE DATE

DCN0010 Page 13 of 32 FM:CO:029 / Rev 00


SE REQUISITION

7-Nov-18

(optional)

REMARKS

Engr. Hossam Alkalaa


PROJECT MANAGER

DATE

DCN0010 Page 14 of 32 FM:CO:029 / Rev 00


PURCHASE REQUISITION

Project Title: Shuaqaiq Phases 3 Water Transmission System Date: 8-Nov-18

Location: Shuqaiq - Jizan PR Control No.:

Building No.: ________________________________ (CSI) Division Title / No.:

Consumable : Yes No

Subject: Request for Site Quality Office Use Only


ITEM
CSI No. DESCRIPTION QTY UNIT
NO.

1 White Box File, A4, 4D ring, 1" 30 Pc

2 White Box File, A4, 4D ring, 1.5" 30 Pc

3 White Box File, A4, 4D ring, 2" 30 Pc

4 Puncher 4 Holes 1 Pc

Signature : Signature :
Requester Name : Jay Laurence M. Montejo Checked by: Muhamad Salah
Designation : DCC-QA/QC Designation : Storekeeper
Date : Date :

Approval

Engr. Randy Villaruel - QA/QC Manager Engr. Hossam Alk


DEPARTMENT HEAD PROJECT MANAGER

DATE DATE

DCN0010 Page 15 of 32 FM:CO:029 / Rev 00


SE REQUISITION

8-Nov-18

(optional)

REMARKS

Engr. Hossam Alkalaa


PROJECT MANAGER

DATE

DCN0010 Page 16 of 32 FM:CO:029 / Rev 00


PURCHASE REQUISITION

Project Title: Shuaqaiq Phases 3 Water Transmission System Date: 24-Nov-18

Location: Shuqaiq - Jizan PR Control No.:

Building No.: ________________________________ (CSI) Division Title / No.:

Consumable : Yes No

Subject: Request for Site Quality Office Use Only


ITEM
CSI No. DESCRIPTION QTY UNIT
NO.

1 Plastic Folders with Clear Front (Blue), A4 4 PACK

2 Binder Clips Small 6 CARTON

3 Binder Clips Medium 6 CARTON

4 Binder Clips Large 6 CARTON

Signature : Signature :
Requester Name : Jay Laurence M. Montejo Checked by: Muhamad Salah
Designation : DCC-QA/QC Designation : Storekeeper
Date : Date :

Approval

Engr. Randy Villaruel - QA/QC Manager Engr. Hossam Alk


DEPARTMENT HEAD PROJECT MANAGER

DATE DATE

DCN0010 Page 17 of 32 FM:CO:029 / Rev 00


SE REQUISITION

24-Nov-18

(optional)

REMARKS

Engr. Hossam Alkalaa


PROJECT MANAGER

DATE

DCN0010 Page 18 of 32 FM:CO:029 / Rev 00


PURCHASE REQUISITION

Project Title: Shuaqaiq Phases 3 Water Transmission System Date: 19-Dec-18

Location: Shuqaiq - Jizan PR Control No.:

Building No.: ________________________________ (CSI) Division Title / No.:

Consumable : Yes No

Subject: Request for Site Quality Office Use Only


ITEM
CSI No. DESCRIPTION QTY UNIT
NO.

1 Ballpen (Blue/Red) 1 Pack

2 Correction Pen 2 Pc

3 Clear Tape, 2 inch 2 Pc

4 Glue/Paste 2 Pc

5 Staple Pin 3 Carton

6 Highlighter/Stabelo 2 Pack

7 Post-it notes (Small/Medium/Large) 6 Pc

8 Staple Remover 2 Pc

9 Jacket for CDs 50 Pc

10 Rubber Bands 3 Box

11 Paper Clips (Small/Medium/Large) 3 Carton

12 Transparent Plastic Files Folders (A4) 1 Rim


Plastic Report Cover (Prong Paper Fastener, A4) (Blue
13 100 Pcs
Color)
14 Binder Clips (Small/Medium/Large) 6 Carton

15 Box Cutter 3 Pc

16 Plastic Binding Cover, A4 2 Rim

17 Plastic Binding Cover, A3 2 Rim

18 Paper Binding Cover, A4 (Light Blue Color) 2 Rim

19 Paper Binding Cover, A3 (Light Blue Color) 2 Rim

20 Box File, A4 (Two Holes) 2 Carton

Signature : Signature :
Requester Name : Jay Laurence M. Montejo Checked by:
Designation : DCC-QA/QC Designation :
Date : Date :

Approval

DCN0010 Page 19 of 32 FM:CO:029 / Rev 00


Approval

Engr. Randy Villaruel - QA/QC Manager Engr. Wael Bayo


DEPARTMENT HEAD PROJECT MANAGER

DATE DATE

DCN0010 Page 20 of 32 FM:CO:029 / Rev 00


SE REQUISITION

19-Dec-18

(optional)

REMARKS

DCN0010 Page 21 of 32 FM:CO:029 / Rev 00


Engr. Wael Bayoumi
PROJECT MANAGER

DATE

DCN0010 Page 22 of 32 FM:CO:029 / Rev 00


PURCHASE REQUISITION

Project Title: Shuaqaiq Phases 3 Water Transmission System Date: 19-Mar-19

Location: Shuqaiq - Jizan PR Control No.:

Building No.: ________________________________ (CSI) Division Title / No.:

Consumable : Yes No

Subject: Request for Site Quality Office Use Only


ITEM
CSI No. DESCRIPTION QTY UNIT
NO.

1 Office table for new Engineers 2 units

2 Chairs 3 Units

3 Water Dispenser 1 pc.

6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21

22

23
24
25
26
27
28
29

Signature : Signature :
Requester Name : Checked by:
Designation : Designation :
Date : Date :

DCN0010 Page 23 of 32 FM:CO:029 / Rev 00


Approval
Engr. Edgar Benosa Barrameda
Engr. Wael Saadat Al
QA/QC Manager

DEPARTMENT HEAD PROJECT MANAGER

DATE DATE

DCN0010 Page 24 of 32 FM:CO:029 / Rev 00


SE REQUISITION

19-Mar-19

(optional)

REMARKS

DCN0010 Page 25 of 32 FM:CO:029 / Rev 00


Engr. Wael Saadat Al Bayoumi

PROJECT MANAGER

DATE

DCN0010 Page 26 of 32 FM:CO:029 / Rev 00


PURCHASE REQUISITION

Project Title: Shuaqaiq Phases 3 Water Transmission System Date: 2-Jul-18

Location: Shuqaiq - Jizan PR Control No.:

Building No.: ________________________________ (CSI) Division Title / No.:

Consumable : Yes No

ITEM
CSI No. DESCRIPTION QTY UNIT
NO.
1 Heavy Duty Binding Machine (Plastic Comb) 1 Pc
2 Plastic Spiral Binding Ring, Size: Small 2 Carton
3 Paper Trimmer Cutter 1 No
4 Staple Remover 2 Pcs
5 Stapler 2 Pcs
6 Puncher 2 Pcs
7 Scientific Calculator 3 Pcs
8 Plastic Spiral Binding Ring, Size: Medium 2 Carton
9 Plastic Spiral Binding Ring, Size: Large 2 Carton
10 Binding Sheet Transparent Size: A4 2 Box
11 Binding Sheet Transparent Size: A3 2 Box
12 Light Blue Paper Size A4 2 Box
13 Light Blue Paper Size A3 2 Box
14 Ballpen (Blue) 1 Pack
15 Ballpen (Red) 1 Pack
16 Ballpen (Black) 1 Pack
17 Correction Pen 7 Pcs
18 Clear Tape, 2 inch 7 Pcs
19 Glue/Paste 7 Pcs
20 Staple Pin 5 Carton
21 Highlighter/Stabelo 3 Sets
22 Scissor 3 Pcs
23 Post-it notes (Small) 7 Pcs
24 Post-it notes (Medium) 7 Pcs
25 Post-it notes (Large) 7 Pcs
26 Marker (Black) 7 Pcs
27 Ruler 3 Pcs
28 Pencils 2 Packs
29 Pencil Sharpener 3 Pcs
30 Empty CDs 100 Pcs
31 Empty DVDs 100 Pcs
32 Jacket for CDs 100 Pcs
33 Rubber Bands 3 Box
34 Paper Clips (Small) 3 Carton
35 Paper Clips (Medium) 3 Carton
36 Paper Clips (Large) 3 Carton
37 Transparent Plastic Files Folders 1 Rim
38 A4 Clear Plastic Punch Punched Pockets Filing 1 Rim
Page 27 of 32 FM:CO:029 / Rev 00
39 Erasers 3 Pcs
40 Binder Clips (Small) 3 Carton
41 Binder Clips (Medium) 3 Carton
42 Binder Clips (Large) 3 Carton
43 Brown Envelop 1 Rim

Signature : Signature :
Requester Name : Jay Laurence M. Montejo Checked by: Muhamad Salah
Designation : DCC-QA/QC Designation : Storekeeper
Date : Date :

Approval

Engr. Randy Villaruel - QA/QC Manager Engr. Hossam Alk


DEPARTMENT HEAD PROJECT MANAGER

DATE DATE

Page 28 of 32 FM:CO:029 / Rev 00


SE REQUISITION

2-Jul-18

(optional)

REMARKS

Page 29 of 32 FM:CO:029 / Rev 00


Engr. Hossam Alkalaa
PROJECT MANAGER

DATE

Page 30 of 32 FM:CO:029 / Rev 00


PURCHASE REQUISITION

Project Title: Shuaqaiq Phases 3 Water Transmission System Date: 2-Jul-18

Location: Shuqaiq - Jizan PR Control No.:

Building No.: ________________________________ (CSI) Division Title / No.: (optional)

Consumable : Yes No

ITEM
CSI No. DESCRIPTION QTY UNIT REMARKS
NO.

Signature : Signature :
Requester Name : Jay Laurence M. Montejo Checked by: Muhamad Salah
Designation : DCC-QA/QC Designation : Storekeeper
Date : Date :

Approval

Engr. Randy Villaruel - QA/QC Manager

DEPARTMENT HEAD PROJECT MANAGER

DATE DATE

Page 31 of 32 FM:CO:029 / Rev 00


PURCHASE REQUISITION

Project Title: Shuaqaiq Phases 3 Water Transmission System Date: 2-Jul-18

Location: Shuqaiq - Jizan PR Control No.:

Building No.: ________________________________ (CSI) Division Title / No.: (optional)

Consumable : Yes No

ITEM
CSI No. DESCRIPTION QTY UNIT REMARKS
NO.

Signature : Signature :
Requester Name : Jay Laurence M. Montejo Checked by: Muhamad Salah
Designation : DCC-QA/QC Designation : Storekeeper
Date : Date :

Approval

Engr. Randy Villaruel - QA/QC Manager

DEPARTMENT HEAD PROJECT MANAGER

DATE DATE

Page 32 of 32 FM:CO:029 / Rev 00