Scribd Logo
Upload

Welcome to Scribd!

  • 40 views

    Fmr-Q1co R1

    Uploaded by

    Ray Luna
    This document is a field material requisition form requesting the return of various hydraulic tubes, hoses, fittings, and related parts from a construction site. It lists 16 items by code, description, quantity required and issued, unit rate, and total estimated value. The total value of all returned items is estimated at $4,182. It provides instructions that any purchase order issued will be by SMI acting as an agent for AAQSA and requires signatures from materials control, the site manager, project controls, and the project director to proceed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Fmr-Q1co R1

    Uploaded by

    Ray Luna
    40 views1 page
    This document is a field material requisition form requesting the return of various hydraulic tubes, hoses, fittings, and related parts from a construction site. It lists 16 items by code, description, quantity required and issued, unit rate, and total estimated value. The total value of all returned items is estimated at $4,182. It provides instructions that any purchase order issued will be by SMI acting as an agent for AAQSA and requires signatures from materials control, the site manager, project controls, and the project director to proceed.

    Original Title

    FMR-Q1CO_R1 (002)

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a field material requisition form requesting the return of various hydraulic tubes, hoses, fittings, and related parts from a construction site. It lists 16 items by code, description, quantity required and issued, unit rate, and total estimated value. The total value of all returned items is estimated at $4,182. It provides instructions that any purchase order issued will be by SMI acting as an agent for AAQSA and requires signatures from materials control, the site manager, project controls, and the project director to proceed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    40 views1 page

    Fmr-Q1co R1

    Uploaded by

    Ray Luna
    This document is a field material requisition form requesting the return of various hydraulic tubes, hoses, fittings, and related parts from a construction site. It lists 16 items by code, description, quantity required and issued, unit rate, and total estimated value. The total value of all returned items is estimated at $4,182. It provides instructions that any purchase order issued will be by SMI acting as an agent for AAQSA and requires signatures from materials control, the site manager, project controls, and the project director to proceed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    FIELD MATERIAL REQUISITION / RETURN - SOLICITUD / RETORNO DE MATERIALES

    Tipo de requerimiento
    Material: Devolución (Return):
    Compra (Ingenieria): RFQ / FMR No.
    Equipo
    (Tag) Bulk Pagina (Page) 1 de 1 Otros (others):

    area CWP Fecha (Date) Entregar a / Deliver to : RAS (Required at site)

    2000 26100040004 19/07/2022


    Numero de contrato/ Numero de BoM Ing. / Engineering BoM No. Disciplina / Discipline
    Contract No.

    6. Cantidad 7. ESTIMATED VALUES


    1. Código 3. UDM 5. Cant. Req. / Qty
    2. Tamaño 4. Descripción (Description) Entregada / Qty.
    (item / Size (Unit) Required UNIT RATE SUBTOTAL
    Issued
    code) /
    Tag #
    1 Pza TUBE-HYDRAULIC #20 ORS p/n 230-0699 1 622.00 622.00
    2 Pza TUBE-HYDRAULIC #16 ORS p/n 230-0701 1 641.00 641.00
    3 Pza TUBE-HYDRAULIC #20 ORS p/n 230-0702 1 887.00 887.00
    4 Pza TUBE-HYDRAULIC 1 1/2IN p/n 230-0753 1 521.00 521.00
    5 Pza O RING FF9446-29 (FOR #24 ORS FITTING) p/n 1801970 4 2.00 8.00
    6 Pza O RING FF9446-21 (FOR #16 ORS FITTING) p/n 1801393 4 2.00 8.00
    7 Pza HOSE ASSEMBLY p/n H237-LLL-061 1 334.00 334.00
    8 Pza HOSE ASSEMBLY p/n H239-MMM-049 1 749.00 749.00
    9 Pza SUPPORT HALVES/HOSE CLAMP p/n 1002791 4 11.00 44.00
    10 Pza INSERT-RUBBER 1.25 ID 5320SRI p/n 1010129 4 13.00 52.00
    11 Pza STUD-0.375 NC X 3.75IN LG-ZINC FINISH p/n 1009769 4 10.00 40.00
    12 Pza LOCKNUT-0.375NC ESNA p/n 1932006 4 2.00 8.00
    13 Pza SUPPORT HALVES 2 1/2IN p/n 1002798 4 26.00 104.00
    14 Pza INSERT-RUBBER 1.50 ID 6381SRI p/n 1002800 4 32.00 128.00
    15 Pza STUD-0.4375 NC X 5 LG.-ZINC PLATED p/n 1009768 4 7.00 28.00
    16 Pza O RING FF9446-25 (FOR #20 ORS FITTING) p/n 1801394 4 2.00 8.00

    (USD) TOTAL 4,182.00

    THE FOLLOW INFORMATION IS REQUIRED TO PROCEED WITH THE ISSUANCE OF THE PURCHASE ORDER
    Company PO to be issued by: PO to be signed by:
    Code
    SMI acting as agent for AAQSA AAQSA
    SMI Purchase SMI
    Fluor Purchase Fluor
    OTHER COST ELEMENTS REIMBURABLE

    COST CODE NOT REIMBURABLE


    Servicios Minería, Inc. – Sucursal del Perú
    DATE / DATE / Fecha :
    ORIGINATOR / Preparado por: APPROVED BY CONTRUCTION:
    Fecha :

    Name and Signature / Nombre y Firma


    Name and Signature / Nombre y Firma
    DATE / DATE / Fecha :
    MAT. CONTROL: SITE MANAGER:
    Fecha :

    Name and Signature / Nombre y Firma


    Name and Signature / Nombre y Firma
    DATE / DATE / Fecha :
    PROJECT CONTROLS: PROJECT DIRECTOR:
    Fecha :

    Name and Signature / Nombre y Firma


    Name and Signature / Nombre y Firma
    Page 1 of 1

    You might also like