TALDEEN Plastic Solutions Company Ltd.

OFFICE OF THE HEAD OF HAIL PLANT

BUDGET RECEIVE FORM
(TPSCL/OHOH/BRF/Rev # 2)

BRF Order No. Date

Amount of cash received

(in digits and in words)

Received by: Date

(name & signature) Received:

Given by: Date

(name & signature) Given:

Attachment Details (ATM Withdrawal Receipt)

Bank Name ATM No.
Date of Transaction App Code
Cash-out Balance

TALDEEN Plastic Solutions Company Ltd.

OFFICE OF THE HEAD OF HAIL PLANT

BUDGET RECEIVE FORM
(TPSCL/OHOH/BRF/Rev # 2)

BRF Order No. Date

Amount of cash received

(in digits and in words)

Received by: Date

(name & signature) Received:

Given by: Date

(name & signature) Given:

Attachment Details (ATM Withdrawal Receipt)

Bank Name ATM No.
Date of Transaction App Code
Cash-out Balance