Asset Disposal AssetForm-
HOSPITAL
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Melomed Bellville
Melomed Gatesville
Melomed Mitchells Plain
Melomed Bellville
Melomed Claremont
Melomed Tokai
Melomed Richards Bay
Warehouse
Iszipharm
REQUEST DATE
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REQUESTED BY
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FROM
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TO
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LINE ITEMS
ASSET NO.
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SERIAL NO.
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QTY
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Price
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DATE of PURCHASE
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BOOK VALUE
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DESCRIPTION
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test
LINE ITEMS 1
ASSET NO.
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SERIAL NO.
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QTY
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Price
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DATE of PURCHASE
*
BOOK VALUE
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DESCRIPTION
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set
LINE ITEMS 2
ASSET NO.
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SERIAL NO.
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QTY
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Price
*
DATE of PURCHASE
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BOOK VALUE
*
DESCRIPTION
*
test
LINE ITEMS 3
ASSET NO.
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SERIAL NO.
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QTY
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Price
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DATE of PURCHASE
*
BOOK VALUE
*
DESCRIPTION
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LINE ITEMS 4
ASSET NO.
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SERIAL NO.
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QTY
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Price
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DATE of PURCHASE
*
BOOK VALUE
*
DESCRIPTION
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LINE ITEMS 5
ASSET NO.
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SERIAL NO.
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QTY
*
Price
*
DATE of PURCHASE
*
BOOK VALUE
*
DESCRIPTION
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LINE ITEMS 6
ASSET NO.
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SERIAL NO.
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QTY
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Price
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DATE of PURCHASE
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BOOK VALUE
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DESCRIPTION
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LINE ITEMS 7
ASSET NO.
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SERIAL NO.
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QTY
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Price
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DATE of PURCHASE
*
BOOK VALUE
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DESCRIPTION
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LINE ITEMS 8
ASSET NO.
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SERIAL NO.
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QTY
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Price
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DATE of PURCHASE
*
BOOK VALUE
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DESCRIPTION
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LINE ITEMS 9
ASSET NO.
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SERIAL NO.
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QTY
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Price
*
DATE of PURCHASE
*
BOOK VALUE
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DESCRIPTION
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LINE ITEMS 10
ASSET NO.
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SERIAL NO.
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QTY
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Price
*
DATE of PURCHASE
*
BOOK VALUE
*
DESCRIPTION
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