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INDIAN INSTITUTE OF TECHNOLOGY

-110016
HAUZ KHAS, NEW DELHI-110016

/ Gate Pass No. ....

/ Book No.
/ Date11.04.2016

/ / ./ /

Department/ School/ Centre/ Unit/ SectionITMMEC.....

Authority Reference No....

/ Purpose

/ Returnable

S.No.
Description of Item
Qty.
To whom Issued
/ Non

Returnable

1.
UPS 6KVA ONLINE
MODEL NO. SRC6KUXIQ

SERIAL NO. BQ1452001266


1
APC COMPANY
REPLACED WITH A NEW ONE (NON-RETURNABLE)

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/ Received by...

. / Vehicle No

/ / / C
/
Issued by Store Keeper
OI/C Stores/Head of Deptt./School
Security Officer/ Chowkidar
( /Office Stamp)

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