PURCHASE REQUEST

PR NO: 150555 CONTRACT NUMBER : 550058

REQUEST MONTH : 1-Mar-16 DEPARTMENT / PROJECT NAME : TUR D
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : TUR1
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment
CODE (If required)
1 FRC Shirt and Pant PAIR 8 460
2 Catridge HP office JE 7800A 920 XL Yellow EA 2 45
3 Catridge HP office JE 7800A 920 XL Black EA 2 105
4 Catridge HP office JE 7800A 920 XL Magenta EA 2 45
5 Catridge HP office JE 7800A 920 XL Cyan EA 2 45

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
 5500582012
TUR DEPT

TUR1‐‐9‐1

Total amount REMARKS

3,680.00
90.00
210.00
90.00
90.00

4,160.00

APPROVED BY:

ED / DCM
 PURCHASE REQUEST

PR NO: 150559 CONTRACT NUMBER : 6600036021

REQUEST MONTH : 1-Mar-16 DEPARTMENT / PROJECT NAME : RTPD / MPD
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : TUR‐36021‐9
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment Total amount
CODE (If required)
1 1 Hiring Charges - Vaccum Tanker 32,000 Ltr SAR 1 25,000.00 25,000.00

25,000.00

REQUESTED BY: VERIFIED BY: APPRO

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: TUR Department ED
 6600036021
RTPD / MPD

TUR‐36021‐9
REMARKS

Hired Period October 26, 2015 to November 23, 2015

APPROVED BY:

ED / DCM
 PURCHASE REQUEST

PR NO: 150560 CONTRACT NUMBER : 6600036021

REQUEST MONTH : 1-Mar-16 DEPARTMENT / PROJECT NAME : RTPD / MPD
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : TUR‐36021‐9
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment Total amount
CODE (If required)

Dumping Oily Water in Abqaiq ( Environmental

1 M3 742.02 105.00 77,912.10
Services Company W L L

77,912.10

REQUESTED BY: VERIFIED BY: APPRO

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: TUR Department ED
 6600036021
RTPD / MPD

TUR‐36021‐9

REMARKS

Hired Period October 26, 2015 to November 23, 2015

APPROVED BY:

ED / DCM
 PURCHASE REQUEST

PR NO: 150561 CONTRACT NUMBER :

REQUEST MONTH : 1-May-16 DEPARTMENT / PROJECT NAME :
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center :
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment
CODE (If required)
1 Calibration of Pressure Relief Valve EA 36 175.00
2 Calibration of Pressure Gauge EA 12 150.00
3 Calibration of Automatic Level EA 1 750.00
4 Calibration of Megohm Meter EA 1 350.00
5 Calibration of Holiday Detector EA 1 500.00
6 Calibration of Digital Coating Thickness Gauge EA 1 350.00

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: TUR Department
 6600029622
DPC 811

TUR-29622-4

Total amount REMARKS

6,300.00
1,800.00
750.00
350.00
Calibration completed in Technical Establishment
500.00
350.00
0.00
10,050.00

APPROVED BY:

ED / DCM
 PURCHASE REQUEST

PR NO: 150562 5500582012

CONTRACT NUMBER :
REQUEST MONTH : 1-Apr-16 TUR DEPT
DEPARTMENT / PROJECT NAME :

DATE OF REQUEST : 5-Jul-18

RPO No / TANK No, if any :

Cost Center : TUR1‐‐9‐4

MATERIAL UNIT PRICE

SN DESCRIPTION UNIT QUANTITY Payment Total amount
CODE (If required)

1 Emergency Money for the month of April 2016 L/S 1 5,000.00 5,000.00

5,000.00
 REQUESTED BY: VERIFIED BY: APPRO

Name : Filbin Mathew

Falco No: 18364

Designation: Mechanical Engineer

Signature & Date: TUR Department ED

5500582012
TUR DEPT

TUR1‐‐9‐4

REMARKS
APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150563 CONTRACT NUMBER :
REQUEST MONTH : 1-Apr-16 DEPARTMENT / PROJECT NAME :
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center :

SN MATERIAL CODE DESCRIPTION UNIT QUANTITY

1 Brown Paper ROLL 200

2 Paper Cup BOX 12
3 Lipton Yellow Tea Bags PACK 250
4 Lipton Green Tea Bags PACK 30
5 Aqua Mineral Water 5 gallon BOTTLE 200

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
ASE REQUEST
6600029622
JECT NAME : Tanajib DPC

1‐E‐ASSETS
UNIT PRICE
Payment Total amount REMARKS
(If required)

Balance item not in PO

140081

0.00
VERIFIED BY: APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150563 CONTRACT NUMBER :
REQUEST MONTH : 1-Apr-16 DEPARTMENT / PROJECT NAME :
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center :

SN MATERIAL CODE DESCRIPTION UNIT QUANTITY

1 Dead Weight Tester EA 1

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
ASE REQUEST
6600029622
JECT NAME : Tanajib DPC

TUR‐29622‐4
UNIT PRICE
Payment Total amount REMARKS
(If required)
20400

0.00
VERIFIED BY: APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150564 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Apr-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-MP
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment
(If required)
1 Hiring Charges - Male Nurse HR 216 76.92

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
 6600029622
Tanajib DPC

1-E-MP

Total amount REMARKS

16,614.72

16,614.72
APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150565 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Apr-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-MP
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment
(If required)
Food Allowance for the period from March 4,
1 SAR 1 216
2016 to March 31, 2016

Advance Payment - Food Allowance for the

2 SAR 1 250
period from April 1, 2016 to April 30, 2016.

( Food Allowance for Hired Male Nurse )

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
 6600029622
Tanajib DPC

1-E-MP

Total amount REMARKS

216.00

250.00 As per the Contract between

Arabian Fal Holding &
Almana Medical Services.

466.00
APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150566 CONTRACT NUMBER : 6600036021
REQUEST MONTH : 1-Apr-16 DEPARTMENT / PROJECT NAME : RTPD & MPD SEWER CLEANING & VACUUM T
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-M-Assets
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment
(If required)
1 Petty cash for Fuel ( March - April ) SAR 1 3200

REQUESTED BY: VERIFIED BY:

Name : MOHAMMAD.ENAYATHULLA
Falco No: 19937
Designation: Project In Charge
Signature & Date:
 6600036021
PD & MPD SEWER CLEANING & VACUUM TANKER SERVICE

1-M-Assets

Total amount REMARKS

3,200.00

Including Regular &

Shutdown work

3,200.00
APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150567 CONTRACT NUMBER : 6600036021
REQUEST MONTH : 1-Apr-16 DEPARTMENT / PROJECT NAME : RTPD & MPD SEWER CLEANING & VACUUM
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-M-Assets

UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment
(If required)

Advance Payment for Annual Waste Disposal

1 Contract Agreement. ( Oily water & Oily SAR 1 10000
Sludge Disposal )

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
 6600036021
TPD & MPD SEWER CLEANING & VACUUM TANKER SERVICE

1-M-Assets

Total amount REMARKS

10,000.00
This amount will be considered
as deposit and the amount will
be deducted from each monthly
invoices.

10,000.00
APPROVED BY:

ED / DCM
 PURCHASE REQUEST

PR NO: 150568 CONTRACT NUMBER : 5500582012

REQUEST MONTH : 1-May-16 DEPARTMENT / PROJECT NAME : TUR DEPT
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : TUR1‐‐9‐4
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment Total amount
CODE (If required)

1 Emergency Money for the month of May 2016 L/S 1 5,000.00 5,000.00

5,000.00

REQUESTED BY: VERIFIED BY: APPRO

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: TUR Department ED
5500582012
TUR DEPT

TUR1‐‐9‐4

REMARKS

APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150569 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Apr-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-MP
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment
(If required)
Cathether: Suction catheter, size: 14 french
1 EA 2
& 16 french
Suction Machine PORTABLE with
2 EA 1
rechargeable batterries Apparatus
3 Pulse Oximeter PORTABLE Machine EA 1
4 Cold Packs EA 20
5 Bandage Compress 10 cm EA 15
6 Forceps & Scissors EA 5
7 Iodine: PVP Ampule EA 20
8 Green Soap Swab BOX 5
9 Cap. Amoxydar 500 mg. PKT 10
10 Tab. Augmentin 500 mg. PKT 10
11 Tab. Ciprocin 500 mg. PKT 10
12 Tab. Claritin PKT 10
13 Tab. Domperidone 10 mg. PKT 10
14 Flamazine Cream 15 mg. Tube 4
15 Tab. Scopinal 10 mg. PKT 20
16 Dermovate Cream 25 mg. Tube 10
17 Elica Ointment Tube 10
18 Tab. Panadol Extra 565 mg. PKT 20
19 Tab. Fevadol 500 mg. PKT 20
20 Cap. Relaxon 550 mg. PKT 20
21 Tab. Nadine 150 mg. PKT 20
22 Tab. Zetrazine 10 mg. PKT 20
23 Tab. Buscopan PKT 15
24 Tab. Lorahist 10 mg. PKT 15
25 Tab. Moxal 505 mg. PKT 20
26 Tab. Flutab 555 mg. PKT 20
27 Tab. Voltic 50 mg. PKT 20
28 Tab. Neorin 5 mg. PKT 10
29 Cap. Doxydar 100 mg. PKT 10
30 Deconzal Nasal Drops 10 ml. Tube 6
31 Tab. Singleair 10 mg. PKT 6
32 Cloderm Cream Tube 5
33 Daktarin Gel Tube 5
34 Tab. Neorobion PKT 5
35 Tab. Sapofen 600 mg. PKT 20
36 Ventolin Sol. PKT 5
37 Ventol EvoHaler EA 5
38 Tab. Dulcolax 5 mg. PKT 10
39 Tab. Voltrex 50 mg. PKT 20
40 Tab. Butalin 4 mg. PKT 20
41 Tab. Histop 4 mg. PKT 20
42 Exylin Syrup 100 ml. BOT 10
43 Maxitrol Eye Drops 5 ml. Tube 10
 44 Tab. Mafepain PKT 20
45 Cap. Imodium PKT 20
46 Syp. Moxal 200 ml. BOT 10
47 Glycerin Cream Tube 10
48 Oint. Fusibact Cream Tube 10
49 Oint. Betaderm Tube 5
50 Oint. Rofenac Gel 50 gm. Tube 15
51 Volvin Spray BOT 5
52 Betadine Lotion 100 ml. BOT 5
53 Betadine Cream 25mg. TUBE 10
54 Spi-Hand Saniti Gel 500 ml. BOT 3
55 Band Aid BOX 5
56 Histop Syrup 100 ml. BOT 10
57 Amydramine Expectorant Syrup 100 ml BOT 10
58 E-Mox Capsules 500 mg. EA 10
59 Syrup butalin 100 ml. BOT 10
60 Adol Extra 500 mg. EA 20
61 Mucolyte Syrup 100 ml. EA 20

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
 6600029622
Tanajib DPC

1-E-MP

Total amount REMARKS

0.00

0.00

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
All items required as per
0.00 MMSR. For Clinic - Aramco
0.00 3rd party inspection is on
May 15, 2016
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00
APPROVED BY:

ED / DCM
 PURCHASE REQUEST

PR NO: UDHSC-400 CONTRACT NUMBER : 6600032529 & 6600036

REQUEST MONTH : 1-May-16 DEPARTMENT / PROJECT NAME : Udhaliyah Project ( Cam
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any : Various RPO's
Cost Center : 1-23-16-6 & 1-23-18-
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment Total amount
CODE (If required)

Camp Rent for Al- Marri @ Harad for the month of

1 Month 1 8,700.00 8,700.00
may 2016 ( Cash Payment )

2 Al- Hawtah Room Rent ( 2 Room ) for May 2016 Month 1 3,000.00 3,000.00

11,700.00

REQUESTED BY: VERIFIED BY: APPRO

Name : Rajesh Ravi
Falco No: 15143
Designation: Project Manager
Signature & Date: ED
6600032529 & 6600036003
Udhaliyah Project ( Camp )
Various RPO's
1-23-16-6 & 1-23-18-6

REMARKS

Haradh Room Rent

For employees staying in Al Hawtah Resturant Room

( FALCO # 4546, 11246, 16680, 5525, 14097)

APPROVED BY:

ED / DCM
 PURCHASE REQUEST

PR NO: UDHSC-401 CONTRACT NUMBER : 6600032529 & 6600036

REQUEST MONTH : 1-May-16 DEPARTMENT / PROJECT NAME : Udhaliyah Project ( Cam
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any : Various RPO's
Cost Center : 1-23-16-6 & 1-23-18-
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment Total amount
CODE (If required)

Aditional Room Rent at Haradh for two months

1 Month 2 3,000.00 6,000.00
( January & February 2016 )

6,000.00

REQUESTED BY: VERIFIED BY: APPRO

Name : Rajesh Ravi
Falco No: 15143
Designation: Project Manager
Signature & Date: ED
6600032529 & 6600036003
Udhaliyah Project ( Camp )
Various RPO's
1-23-16-6 & 1-23-18-6

REMARKS

Additional room taken for Hydrojetting Shut down in

Haradh. This is after the Fact

APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150570 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Apr-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-MP
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment
(If required)
1 Hiring Charges - Male Nurse MONTH 1 20000

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
 6600029622
Tanajib DPC

1-E-MP

Total amount REMARKS

20,000.00

20,000.00
APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150571 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Jun-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : TUR-29622-1
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment
(If required)
1 Sand Blasting Hood - Set EA 1 1225

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
 6600029622
Tanajib DPC

TUR-29622-1

Total amount REMARKS

1,225.00

Safety issue

1,225.00
APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150572 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Jun-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1‐E‐ASSETS
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment
(If required)
1 Brown Paper ROLL 240
2 Paper Cup BOX 12
3 Lipton Yellow Tea Bags PACK 270
4 Lipton Green Tea Bags PACK 30
5 Hand Wash Soap 2 ltr bottle EA 9
6 Cone cup BOX 2
7 Coffee BOTTLE 36
8 Maxwell BOTTLE 35
9 Coffee filter BOX 3
10 Milk Halib EA 200
11 Boney Milk EA 300
12 Toilet Cleaner ( # 101 ) BOTTLE 36
13 Clorox CAN 18
14 Flash EA 36
15 Dettol 2 Ltr BOTTLE 6
16 Firy 1 Ltr EA 12
 17 Trash Bag 50 Gall Bdl 2
18 Sugar KG 45
19 Tea Bags PACK 225
20 Green Tea PACK 30

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
 6600029622
Tanajib DPC

1‐E‐ASSETS

Total amount REMARKS

Contract materials
0.00
APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150573 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Jun-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-MP
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment
(If required)
1 Hiring Charges ( May 2016 ) - Male Nurse MONTH 1 20000

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
 6600029622
Tanajib DPC

1-E-MP

Total amount REMARKS

20,000.00

20,000.00
APPROVED BY:

ED / DCM
 PURCHASE REQUEST

PR NO: 150574 CONTRACT NUMBER : 5500582012

REQUEST MONTH : 1-Jun-16 DEPARTMENT / PROJECT NAME : TUR DEPT
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : TUR1‐‐9‐4
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment Total amount
CODE (If required)

1 Emergency Money for the month of June 2016 L/S 1 5,000.00 5,000.00

5,000.00

REQUESTED BY: VERIFIED BY: APPRO

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: TUR Department ED
5500582012
TUR DEPT

TUR1‐‐9‐4

REMARKS

APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150575 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Jun-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any : 6510755365
Cost Center : TUR-29622-1
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment
(If required)
1 CGA " Grade D " Air quality Test EA 1 4000

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
 6600029622
Tanajib DPC
6510755365
TUR-29622-1

Total amount REMARKS

4,000.00

AC - 1131

4,000.00
APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150576 CONTRACT NUMBER :
REQUEST MONTH : 1-Jun-16 DEPARTMENT / PROJECT NAME :
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center :

SN MATERIAL CODE DESCRIPTION UNIT QUANTITY

1 Hiring Charges ( May 2016 ) - Male Nurse MONTH 1

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
ASE REQUEST
6600029622
JECT NAME : Tanajib DPC

1-E-MP
UNIT PRICE
Payment Total amount REMARKS
(If required)
20000 20,000.00

20,000.00
VERIFIED BY: APPROVED BY:

ED / DCM
 PURCHASE REQUEST

PR NO: 150577 CONTRACT NUMBER : 5500582012

REQUEST MONTH : 1-Jun-16 DEPARTMENT / PROJECT NAME : TUR DEPT
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : TUR1‐‐9‐4
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment Total amount
CODE (If required)

1 Emergency Money for the month of July 2016 L/S 1 5,000.00 5,000.00

5,000.00

REQUESTED BY: VERIFIED BY: APPRO

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: TUR Department ED
5500582012
TUR DEPT

TUR1‐‐9‐4

REMARKS

APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150578 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Jun-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-MP
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment
(If required)
1 Hiring Charges ( June 2016 ) - Male Nurse MONTH 1 20000

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
 6600029622
Tanajib DPC

1-E-MP

Total amount REMARKS

20,000.00

20,000.00
APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150579 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Jun-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-MP
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment
(If required)
1 Exit / Emergency door for Clinic in DPC 811 EA 1

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
 6600029622
Tanajib DPC

1-E-MP

Total amount REMARKS

AFH - MANAGEMENT
SAFETY WALKTHROUGH -
FINDINGS

0.00
APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150580 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Jul-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-MP
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment
(If required)
Food Allowance for the period from May 1, 2016
1 SAR 1 250
to May 31, 2016
Advance Payment - Food Allowance for the
2 SAR 1 250
period from June 1, 2016 to June 30, 2016.
( Food Allowance for Hired Male Nurse )

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
 6600029622
Tanajib DPC

1-E-MP

Total amount REMARKS

250.00

250.00 As per the Contract between

Arabian Fal Holding &
Almana Medical Services.

500.00
APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150581 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Jul-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-Assets
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment
(If required)
1 Pest Control Service in Tanajib DPC 811 EA 1 2500

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
 6600029622
Tanajib DPC

1-E-Assets

Total amount REMARKS

2,500.00

Safety Finding raised by

construction department.

2,500.00
APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150582 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Jul-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-Assets
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
(If required)
Calibration certificate of Gas tester Model-
1 EA 1 600 600.00
MX6,Serial No16033M-001

600.00
REQUESTED BY: VERIFIED BY: APPROVED BY:
Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: ED / DCM
 PURCHASE REQUEST

PR NO: 150583 CONTRACT NUMBER : 6600029622

REQUEST MONTH : 1-May-16 DEPARTMENT / PROJECT NAME : DPC 811
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : TUR-29622-4
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
CODE (If required)
1 Calibration of Pressure Relief Valve EA 86 175.00 15,050.00
2 Calibration of Pressure Gauge EA 32 150.00 4,800.00
3 Calibration of Automatic Level EA 1 750.00 750.00
4 Calibration of Megohm Meter EA 1 350.00 350.00
Calibration completed in Technical Establishment
5 Calibration of Holiday Detector EA 1 500.00 500.00
6 Calibration of Digital Coating Thickness Gauge EA 1 350.00 350.00
0.00
21,800.00

REQUESTED BY: VERIFIED BY: APPROVED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: TUR Department ED / DCM
 PURCHASE REQUEST
PR NO: 150584 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Jul-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-MP
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment Total amount Supplier REMARKS
(If required)
Cathether: Suction catheter, size: 14 french
1 EA 2 8 Cash 16.00
& 16 french Dar as Sihha medical
2 Pulse Oximeter PORTABLE Machine EA 1 650 Cash 650.00 center
3 Forceps & Scissors EA 2 120 Cash 240.00
4 Iodine: PVP Ampule EA 3 0.00
NA
5 Green Soap Swab BOX 3 0.00
6 Tab. Neorin 5 mg. PKT 3 25.9 Cash 77.70
7 Volvin Spray BOT 3 19 Cash 57.00
8 Cotton Tip Applicator Box 1 20 Cash 20.00
9 Plastic Medicine Cup PKT 2 20 Cash 40.00
10 Paper Towels EA 3 5 Cash 15.00
11 Kerlix roll EA 2 46 Cash 92.00
All items required as per
12 Multi-Trauma dressing EA 2 40 Cash 80.00
MMSR. For Clinic
13 Pocket Mask, Adult EA 2 110 Cash 220.00
14 Suction catheters, size French 14 EA 3 4 Cash 12.00
15 Ace wraps, 4 inch x 6 inch EA 2 10 Cash 20.00
16 Yankauer suction EA 3 11 Cash 33.00
17 Antiseptic Liquid Soap Bot 3 25 Cash 75.00
18 Thermometer for refrigerator EA 1 110 Cash 110.00
19 Aluminum foil roll EA 2 15 Cash 30.00 Dar as Sihha medical
20 Burn Dressing sheet 60 x 90 cm EA 3 75 Cash 225.00 center
21 Cervical Collar (Adult Size) EA 1 98 Cash 98.00
22 Tegaderm 6cm x 7cm PKT 3 170 Cash 510.00
Emergency Eye wash Solution 16 ounce
23 EA 2 190 Cash 380.00
Bottle
24 Paper roll for Examination Table EA 3 10 Cash 30.00
25 Steri-strip 1/4 inch PKT 3 105 Cash 315.00
26 Vaseline Gauze PKT 3 46 Cash 138.00
 27 Multistix PKT 3 200 Cash 600.00
Strips for Glucose in Urine (KETODIABUR
28 PKT 3 200 Cash 600.00
TEST)
29 Bacitracin zinc ointment TUBE 3 19.4 Cash 58.20
30 Cloderm Cream EA 3 16.15 Cash 48.45
31 Indomethacin 25 mg capsules PKT 3 9.75 Cash 29.25
32 Cinchocaine 1% ointment, 20 mg tube TUBE 1 0.00
33 Diphenhydramine hydrochloride PKT 3 0.00
NA
Tetanus immune globulin 250 IU per ml 1 ml
34 EA 3 0.00 All items required as per
vial/syringe for intra muscular (IM) use
MMSR. For Clinic
35 Tetanus Toxoid 0.5 ml dose for IM EA 3 20 Cash 60.00
36 Phenazopyridine HCL 100 mg tablets PKT 3 0.00
37 Insulin Injection vial VIAL 1 53.55 Cash 53.55
38 Isosorbide dinitrate 10 mg tablets PKT 3 200 Cash 600.00 Dar as Sihha medical
39 Albuterol inhaler, 200 inhalations PKT 1 15.65 Cash 15.65 center
40 Diphenhydramine 50mg/1 ml vial VIAL 3 6.05 Cash 18.15
41 Epinephrine 1;1,000, 1mg/1 ml. VIAL 3 20 Cash 60.00
42 Glucose powder, oral, bottle BOT 1 20 Cash 20.00
43 Nitroglycerin tablets, 0.4 mg bottle BOT 1 0.00 NA
44 Deconzal Nasal Drops 10 ml. BOT 3 4.05 Cash 12.15
Dar as Sihha medical
45 Uni Fresh Eye gtts. BOX 1 34.15 Cash 34.15
center
46 Amydramine Exp. 120 ml. BOT 3 8.3 Cash 24.90

5,718.15
REQUESTED BY: VERIFIED BY: APPROVED BY:
Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: ED / DCM
 PURCHASE REQUEST
PR NO: 150585 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Aug-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-MP
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
(If required)
1 Hiring Charges ( July 2016 ) - Male Nurse MONTH 1 20000 20,000.00
2 Overtime ( Holiday ) Hrs 40 115.38 4,615.20

24,615.20
REQUESTED BY: VERIFIED BY: APPROVED BY:
Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: ED / DCM
 PURCHASE REQUEST

PR NO: 150586 CONTRACT NUMBER : 5500582012

REQUEST MONTH : 1-Aug-16 DEPARTMENT / PROJECT NAME : TUR DEPT
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : TUR1‐‐9‐4
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
CODE (If required)
1 Emergency Money for the month of June 2016 L/S 1 5,000.00 5,000.00

5,000.00

REQUESTED BY: VERIFIED BY: APPROVED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: TUR Department ED / DCM
 PURCHASE REQUEST
PR NO: 150586 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Aug-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-MP
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
(If required)
1 Aqua Mineral Water 5 gallon BOTTLE 600 7 4,200.00

4,200.00
REQUESTED BY: VERIFIED BY: APPROVED BY:
Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: ED / DCM
 PURCHASE REQUEST
PR NO: 150587 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Aug-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-MP
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
(If required)
Overtime Allowance for Hired Male Nurse in
1 Month 2 1000 2,000.00
DPC 811 ( June 2016 & July 2016 )

2,000.00
REQUESTED BY: VERIFIED BY: APPROVED BY:
Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: ED / DCM
 PURCHASE REQUEST
PR NO: 150588 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Aug-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-MP
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
(If required)
1 Amydramine Expectorant Syrup 100 ml Bot 5
2 Syrup Butalin 100 ml. Bot 5
3 Mucolyte Syrup 100 ml. Bot 5
4 Exylin Syrup 100 ml. Bot 5
5 Strepsils Pk 5
6 Rofenac Gel Tube 5
7 Salonpas Patch Pc 5
8 Flutab 500 mg Capsules Pk 5
9 Decozal Nasal Spray Bot 5
10 Rinofed Tablets Pk 5
11 Iodine: PVP Ampule EA 5
12 Green Soap Swab EA 5
13 One Touch Glucose Meter (with Glucose Strips) EA 1
14 Cinchocaine 1% ointment, 20 mg tube Tube 3

0.00
REQUESTED BY: VERIFIED BY: APPROVED BY:
Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: ED / DCM
 PURCHASE REQUEST
PR NO: 150589 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Aug-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : TUR-29622-1
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
(If required)
1 Blotter Paper EA 120 10 1,200.00

1,200.00
REQUESTED BY: VERIFIED BY: APPROVED BY:
Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: ED / DCM
 PURCHASE REQUEST
PR NO: 150590 CONTRACT NUMBER : 6600036021
REQUEST MONTH : 1-Aug-16 DEPARTMENT / PROJECT NAME : Udhaliyah
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1‐L‐MP
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
(If required)
1 Month 2 5000 10,000.00
Advance Payment - Room Rental Charge for 2
Months ( Hawayah Tamimi contractor Park ) Amount Under Mr. Rajesh
Account ( FALCO # 15143 )

10,000.00
REQUESTED BY: VERIFIED BY: APPROVED BY:
Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: ED / DCM
 PURCHASE REQUEST
PR NO: 150591 CONTRACT NUMBER : 6600036021
REQUEST MONTH : 1-Aug-16 DEPARTMENT / PROJECT NAME : Udhaliyah
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1‐L‐MP
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
(If required)
1 SAR 1 28560 28,560.00
Security Deposit amount to Tamimi Global Co.
Ltd ( TAFGA ) Company

28,560.00
REQUESTED BY: VERIFIED BY: APPROVED BY:
Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: ED / DCM
 PURCHASE REQUEST
PR NO: 150592 CONTRACT NUMBER : 6600032529
REQUEST MONTH : 1-Aug-16 DEPARTMENT / PROJECT NAME : Udhaliyah
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-G-Assets
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
(If required)
1 Copier Machine EA 1 7340 7,340.00

7,340.00
REQUESTED BY: VERIFIED BY: APPROVED BY:
Name : Rajesh Ravi
Falco No: 15143
Designation: Project Manager
Signature & Date: ED / DCM
 PURCHASE REQUEST
PR NO: 150593 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Aug-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-Assets
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
(If required)
Fabrication, delivery and installation of Site
1 EA 1 48000 48,000.00
Portable Clinic

48,000.00
REQUESTED BY: VERIFIED BY: APPROVED BY:
Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: ED / DCM
 PURCHASE REQUEST

PR NO: 150594 CONTRACT NUMBER : 5500582012

REQUEST MONTH : 1-Aug-16 DEPARTMENT / PROJECT NAME : TUR DEPT
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : TUR1‐‐9‐4
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
CODE (If required)

1 Emergency Money for the month of September 2016 L/S 1 5,000.00 5,000.00

5,000.00

REQUESTED BY: VERIFIED BY: APPROVED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: TUR Department ED / DCM
 PURCHASE REQUEST
PR NO: 150595 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Aug-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-MP
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
(If required)
Overtime Allowance for Hired Male Nurse in
1 Month 1 1000 1,000.00
DPC 811 ( August 2016 )
Food Allowance for Hired Male Nurse in DPC
2 Month 1 250 250.00
811 ( August 2016 )

1,250.00
REQUESTED BY: VERIFIED BY: APPROVED BY:
Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: ED / DCM
 PURCHASE REQUEST
PR NO: 150596 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Aug-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-MP
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
(If required)

1 Hiring Charges ( August 2016 ) - Male Nurse MONTH 1 20000 20,000.00

20,000.00
REQUESTED BY: VERIFIED BY: APPROVED BY:
Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: ED / DCM
 PURCHASE REQUEST

PR NO: 150597 CONTRACT NUMBER : 6600029622

REQUEST MONTH : 1-May-16 DEPARTMENT / PROJECT NAME : DPC 811
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : TUR-29622-4
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
CODE (If required)
1 Calibration of Salt Contamination Meter EA 1 900.00 900.00

900.00

REQUESTED BY: VERIFIED BY: APPROVED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: TUR Department ED / DCM
 PURCHASE REQUEST
PR NO: 150598 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Sep-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1‐E‐ASSETS
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
(If required)
1 Brown Paper CTN 24 52 1,248.00
2 Paper Cup BOX 12 63 756.00
3 Lipton Yellow Tea Bags PACK 270 16 4,320.00
4 Lipton Green Tea Bags PACK 30 17 510.00
5 Hand Wash Soap 2 ltr bottle EA 9 28 252.00
6 Cone cup BOX 2 200 400.00
7 Coffee BOTTLE 36 28 1,008.00
8 Maxwell BOTTLE 35 20 700.00
9 Coffee filter BOX 3 15 45.00
10 Milk Halib EA 200 5 1,000.00
Contract materials
11 Boney Milk EA 300 3.5 1,050.00
12 Toilet Cleaner ( # 101 ) BOTTLE 36 12 432.00
13 Clorox CAN 18 14 252.00
14 Flash EA 36 15 540.00
15 Dettol 2 Ltr BOTTLE 6 55 330.00
16 Firy 1 Ltr EA 12 22 264.00
17 Trash Bag 50 Gall Bdl 2 100 200.00
18 Sugar KG 45 4 180.00
19 Drinking Water Filter EA 45 20 900.00

14,387.00
REQUESTED BY: VERIFIED BY: APPROVED BY:
Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: ED / DCM
 PURCHASE REQUEST

PR NO: UDHSC-428 CONTRACT NUMBER : 6600032529 & 6600036003

REQUEST MONTH : 6-Sep-16 DEPARTMENT / PROJECT NAME : Udhaliyah Project ( Camps )
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any : Various RPO's
Cost Center : 1-23-18-6
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
CODE (If required)
Camp Rent for AL- Marri @ Harad for the month of August - December
1 5 8,700.00 43,500.00 Haradh Room Rent
2016
For employees staying in AL_Hawtah Resturant Room
2 AL_ Hawtah Room Rent ( 2 Room ) for August 2016 5 3,000.00 15,000.00
( FALCO # 4546, 5959, 11246, 5525 & 14097
3 Sweet Drinking Water for Khurais Camp August - December 5 1,100.00 5,500.00 For employees staying in Khurais Kitchen, and Sites

64,000.00

REQUESTED BY: VERIFIED BY: APPROVED BY:

Name : Rajesh Ravi
Falco No: 15143
Designation: Project Manager
Signature & Date: ED / DCM
 PURCHASE REQUEST

PR NO: 150599 CONTRACT NUMBER : 6600029622

REQUEST MONTH : 1-Sep-16 DEPARTMENT / PROJECT NAME : DPC 811
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : TUR-29622-1
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
CODE (If required)
1 Working Gloves DOZ 40 34.00 1,360.00
2 Cotton Gloves DOZ 40 7.00 280.00
3 Welding Gloves DOZ 12 120.00 1,440.00
4 TIG Welding Gloves DOZ 9 180.00 1,620.00
5 Rubber Gloves DOZ 5 44.00 220.00
6 Tungesten Road 2.4 mm PKT 8 90.00 720.00

5,640.00

REQUESTED BY: VERIFIED BY: APPROVED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: TUR Department ED / DCM
 PURCHASE REQUEST

PR NO: 150600 CONTRACT NUMBER : 6600029622

REQUEST MONTH : 1-May-16 DEPARTMENT / PROJECT NAME : DPC 811
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : TUR-29622-4
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
CODE (If required)
1 Calibration of Pressure Relief Valve EA 70 175.00 12,250.00
2 Calibration of Pressure Gauge EA 25 150.00 3,750.00
3 Calibration of Automatic Level EA 1 750.00 750.00
4 Calibration of Megohm Meter EA 1 350.00 350.00
Calibration in Technical Establishment
5 Calibration of Holiday Detector EA 1 500.00 500.00
6 Calibration of Digital Coating Thickness Gauge EA 1 350.00 350.00
0.00
17,950.00

REQUESTED BY: VERIFIED BY: APPROVED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: TUR Department ED / DCM
 PURCHASE REQUEST

PR NO: 150601 CONTRACT NUMBER : 6600029622

REQUEST MONTH : 1-Oct-16 DEPARTMENT / PROJECT NAME : Tanajib, DPC 811
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1‐E‐ASSETS
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
CODE (If required)
1 Suction machine with suction with catheter & tubing EA 1 0.00
2 Strecher Collapsible (Ferno or Others). EA 1 0.00
3 Backboard Short with straps. EA 1 0.00
4 Long Board with straps, Van type only EA 1 0.00
Required for Ambulance AM 1069, as per MMSR
5 Kendrick Extrication Device (KED) EA 1 0.00
6 Hare traction EA 1 0.00
0.00
0.00

REQUESTED BY: VERIFIED BY: APPROVED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: TUR Department ED / DCM
 PURCHASE REQUEST
PR NO: 150602 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Sep-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any : 6510755365
Cost Center : TUR-29622-1
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
(If required)
1 CGA " Grade D " Air quality Test EA 1 4000 4,000.00

AC - 1131

4,000.00
REQUESTED BY: VERIFIED BY: APPROVED BY:
Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: ED / DCM
 PURCHASE REQUEST

PR NO: 150603 CONTRACT NUMBER : 5500582012

REQUEST MONTH : 1-Oct-16 DEPARTMENT / PROJECT NAME : TUR DEPT
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : ACO-H-06
MATERIAL UNIT PRICE
SN DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
CODE (If required)

1 Emergency Money for the month of November 2016 L/S 1 5,000.00 5,000.00

5,000.00

REQUESTED BY: VERIFIED BY: APPROVED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: TUR Department ED / DCM
 PURCHASE REQUEST
PR NO: 150604 CONTRACT NUMBER : 6600029622
REQUEST MONTH : 1-Oct-16 DEPARTMENT / PROJECT NAME : Tanajib DPC
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center : 1-E-Assets
UNIT PRICE
SN MATERIAL CODE DESCRIPTION UNIT QUANTITY Payment Total amount REMARKS
(If required)
Calibration certificate of Gas tester Model-
1 EA 1 350 350.00
MX6,Serial No16033M-001

350.00
REQUESTED BY: VERIFIED BY: APPROVED BY:
Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: ED / DCM
 PURCHASE REQUEST

PR NO: 150605 CONTRACT NUMBER :

REQUEST MONTH : 1-Dec-16 DEPARTMENT / PROJECT NAME :
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center :
MATERIAL
SN DESCRIPTION UNIT QUANTITY
CODE

1 Emergency Money for the month of December 2016 L/S 1

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date: TUR Department
URCHASE REQUEST

5500582012
/ PROJECT NAME : TUR DEPT
K No, if any :
ACO-H-06
UNIT PRICE
Payment Total amount REMARKS
(If required)

5,000.00 5,000.00

5,000.00

VERIFIED BY: APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150606 CONTRACT NUMBER :
REQUEST MONTH : 1-Dec-16 DEPARTMENT / PROJECT NAME :
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center :

SN MATERIAL CODE DESCRIPTION UNIT QUANTITY

1 Brown Paper CTN 24

2 Paper Cup BOX 12
3 Lipton Yellow Tea Bags PACK 10
4 Lipton Green Tea Bags PACK 30
5 Hand Wash Soap 2 ltr bottle EA 9
6 Cone cup BOX 1
7 Coffee BOTTLE 36
8 Maxwell BOTTLE 35
9 Coffee filter BOX 3
10 Milk Halib EA 300
11 Boney Milk EA 360
12 Toilet Cleaner ( # 101 ) BOTTLE 36
15 Dettol 2 Ltr BOTTLE 12
16 Firy 1 Ltr EA 12
17 Trash Bag 50 Gall Bdl 3
18 Sugar KG 50

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
ASE REQUEST
6600029622
JECT NAME : Tanajib DPC

AT-29622
UNIT PRICE
Payment Total amount REMARKS
(If required)
52 1,248.00
63 756.00
16 160.00
17 510.00
28 252.00
200 200.00
28 1,008.00
20 700.00
15 45.00 Contract materials
5 1,500.00
3.5 1,260.00
12 432.00
55 660.00
22 264.00
100 300.00
4 200.00

9,495.00
VERIFIED BY: APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150607 CONTRACT NUMBER :
REQUEST MONTH : 1-Dec-16 DEPARTMENT / PROJECT NAME :
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center :

SN MATERIAL CODE DESCRIPTION UNIT QUANTITY

1 Aqua Mineral Water 5 gallon BOTTLE 600

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
ASE REQUEST
6600029622
JECT NAME : Tanajib DPC

AT-29622
UNIT PRICE
Payment Total amount REMARKS
(If required)
7 4,200.00

4,200.00
VERIFIED BY: APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150608 CONTRACT NUMBER :
REQUEST MONTH : 1-Dec-16 DEPARTMENT / PROJECT NAME :
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center :

SN MATERIAL CODE DESCRIPTION UNIT QUANTITY

Hiring Charges - Male Nurse ( Nov, Dec 2016

1 MONTH 3
& Jan 2017 )

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
ASE REQUEST
6600029622
JECT NAME : Tanajib DPC

AT-29622
UNIT PRICE
Payment Total amount REMARKS
(If required)

20000 60,000.00

60,000.00
VERIFIED BY: APPROVED BY:

ED / DCM
 PURCHASE REQUEST
PR NO: 150609 CONTRACT NUMBER :
REQUEST MONTH : 1-Dec-16 DEPARTMENT / PROJECT NAME :
DATE OF REQUEST : 5-Jul-18 RPO No / TANK No, if any :
Cost Center :

SN MATERIAL CODE DESCRIPTION UNIT QUANTITY

Overtime Allowance for Hired Male Nurse in

1 Month 3
DPC 811 ( Nov, Dec 2016 & Jan 2017 )
Food Allowance for Hired Male Nurse in DPC
2 Month 3
811 ( Nov, Dec 2016 & Jan 2017 )

REQUESTED BY: VERIFIED BY:

Name : Filbin Mathew
Falco No: 18364
Designation: Mechanical Engineer
Signature & Date:
ASE REQUEST
6600029622
JECT NAME : Tanajib DPC

AT-29622
UNIT PRICE
Payment Total amount REMARKS
(If required)

1000 3,000.00

250 750.00

3,750.00
VERIFIED BY: APPROVED BY:

ED / DCM