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STORE REQUISITION SLIP
U.P. Pt. Deen Dayal Upadhyaya Pashu-Chikitsa Vigyan Vishwavidyalaya |
Original Copy |
| Letter No: | Date: 04-05-2026 |
| College: COVSc | Department: Gynaecology & Obstetrics |
| Nature of Requirement: Recurring | Funding Source: University Grant |
| Project/Scheme Title: |
| Sanctioned Amount (Enclosed Annexure ): βΉ0.00 |
Purpose & Justification:
The Existing Canon Drum & Toner Cartridge is Purchased on Dated 15.03.2023 and is now not working.
Details of Items:
| S.N. | Item Description & Catalogue No (if applicable) | Specifications | Make/Brand(Only in case of RC) | Qty | Unit Cost (βΉ) | Approx Cost (βΉ) |
|---|---|---|---|---|---|---|
| 1 | Canon Drum Cartridge 051 | 20001 to 30000 | - | 1.00 | 6,874.00 | 6,874.00 |
| 2 | Canon Toner Cartridge 051H | 2001 to 5000 | - | 1.00 | 5,568.00 | 5,568.00 |
| Sub Total: | βΉ12,442.00 | |
| GST: | βΉ0.00 | |
| Grand Total: | βΉ12,442.00 |
| AMC Required: No | AMC Duration: N/A |
Certification:
It is certified that the rates of the above items/services have been verified from different sources and found reasonable.( Enclosed rate reasonability Annexure )
(Indentor Signature)
Date: _____________
Date: _____________
(HOD/Officer Signature)
Date: _____________
Date: _____________
(Dean/Director Signature)
Date: _____________
Date: _____________