lira request may 2015
DESCRIPTION
Lira Request May 2015TRANSCRIPT
AIDS INFORMATION CENTRE INTERNAL REQUISITION FORM
Date: 8th May 2015
From : AIC LIRA
To : AIC MAIN STORE
Please issue the following:
ITEMS DETAILS BALANCE REQUISITION QUANTITYMAIN STORE APPROVED &
ISSUEDSMC consent forms 50x100 BooksHCT Consent forms 70x100 BooksHCT Client cards 50x200 bksHCT couple forms 10x100 BooksBCC Cards 20x100 BooksReferral Forms 10x50 BooksCondoms 100x3000 CartonsA4 Envelopes 3 PacketsA5 Envelopes 3 PacketsHeaded papers 1 ReamVehicle log books 3 BooksStamp (RECEIVED) 1 Piece
Requested by: Okullu Andrew Date: 8/05/2015
Authorized by:--------------------------------------------------------- Date ------------------------ APO
Received by:--------------------------------------------------------------- Date----------------------