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STORE REQUISITION SLIP

U.P. Pt. Deen Dayal Upadhyaya Pashu-Chikitsa Vigyan Vishwavidyalaya
Evam Go-Anusandhan Sansthan, Mathura-281001 (UP)

Original Copy

Letter No: 24-Micro-2026 Date: 10-05-2026
College: College of Veterinary Science Department: Department of Veterinary Microbiology
Nature of Requirement: Recurring Funding Source: University Grant
Note: Each Indent must pertain to only one category.
Project/Scheme Title:
Sanctioned Amount (Enclosed Annexure ): β‚Ή0.00

Purpose & Justification:
Toner cartridge for Printer installed in Office of Head of the department and Department Office


Details of Items:
S.N. Item Description & Catalogue No (if applicable) Specifications Make/Brand(Only in case of RC) Qty Unit Cost (β‚Ή) Approx Cost (β‚Ή)
1 Toner cartridge 137A HP Laserjet MFP M233 sdw HP 1.00 5,983.00 5,983.00
2 Toner cartridge 12A HP laserjetM1005 printer HP 1.00 5,200.00 5,200.00
Specifications must be generic and non-proprietary (not brand specific).
Sub Total: β‚Ή11,183.00
GST: β‚Ή0.00
Grand Total: β‚Ή11,183.00
AMC Required: Yes 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: _____________
(HOD/Officer Signature)
Date: _____________
(Dean/Director Signature)
Date: _____________