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SF-INFR-49 List of Equipment

NHA infrastructure project form for list of equipment

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Standard Form Number: SF-INFR-49
Revised on: August 11, 2004

List of Equipment, Owned or Leased and/or under Purchase Agreements
Business Name
Business Address

Description

: ____________________________________________________________________________________________________________
: ____________________________________________________________________________________________________________

Owned/
Leased/Under
Purchase
Agreement

Model/
Year

Capacity /
Performance / Size

Plate No.

1
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.

Submitted by

: ___________________________________________________

Designation
Date

: ___________________________________________________
: ___________________________________________________

(Printed Name & Signature)

Print as many pages as necessary.

Motor No. / Body
No.

Location

Condition

Proof of Ownership
/ Lessor or Vendor
 
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