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<!DOCTYPE html>
<html>
<head>
<title>html16</title>
<style type="text/css">
#hd
{
background-color:#D3D3D3;
border-top:solid 1px;
border-bottom-color: #D3D3D3;
}
a
{
color: blue;
}
td,th
{
border-left-color: black;
border-right-color: black;
border-top-color: #D3D3D3;
border-bottom-color: #D3D3D3;
}
</style>
</head>
<body>
<table border="1" style="border-collapse:collapse" width="60%">
<tr>
<th colspan="9" align="left" id="hd">Requester Information</th>
</tr>
<tr>
<th align="right">Name</th>
<td colspan="6">Baabtra Mentoring Partner</td>
<th align="right" width="10%">Date</th>
<td>9/9/2013</td>
</tr>
<tr>
<th align="right">Department</th>
<td colspan="8">Training</td>
</tr>
<tr>
<th align="right">Email</th>
<td colspan="3">info@baabtra.com</td>
<th align="right" width="10%">Phone</th>
<td colspan="4">0495 4025550</td>
</tr>
<tr>
<th align="left" colspan="9" id="hd">Supplier Information</th>
</tr>
<tr>
<th align="right">Name</th>
<td align="left" colspan="8">megatrade computers</td>
</tr>
<tr>
<th align="right">Address 1</th>
<td align="left" colspan="8">Palayam</td>
</tr>
<tr>
<th align="right">Address 2</th>
<td align="left" colspan="8"></td>
</tr>
<tr>
<th align="right">City</th>
<td colspan="2" width="25%">Kozhikode</td>
<th align="right" width="10%">State</th>
<td>Kerala</td>
<th align="right" colspan="3" width="45%">Zip Code</th>
<td>673001</td>
</tr>
<tr>
<th align="right">E-mail</th>
<td colspan="3">order@megatrade.com</td>
<th align="right">Web</th>
<td colspan="4"><a href="">www.megatrade.com</a></td>
</tr>
<tr>
<th align="right">Phone</th>
<td colspan="3">0495 222222</td>
<th align="right">Fax</th>
<td colspan="4">0495 222222</td>
</tr>
<tr>
<th colspan="9" align="left" id="hd">Items</th>
</tr>
<tr>
<th>Item#</th>
<th width="20%">Part Number</th>
<th colspan="4">Description</th>
<th width="15%">Quantity</th>
<th>Unit Cost</th>
<th>Total</th>
</tr>
<tr>
<th>1</th>
<td>197-540501</td>
<td colspan="4">Toner Cartridge for LaserJet 4100 Series 6000</td>
<td align="center">2</td>
<td align="right">29.95</td>
<td align="right">59.90</td>
</tr>
<tr>
<th>2</th>
<td align="left">555-013097</td>
<td colspan="4">Ink Cartridge color for Epson Stylus C62</td>
<td align="center">2</td>
<td align="right">27.00</td>
<td align="right">81.00</td>
</tr>
<tr>
<th>3</th>
<td align="left">555-0167213</td>
<td colspan="4">Parallel Printer Cable 10ft</td>
<td align="center">1</td>
<td align="right">6.00</td>
<td align="right">$6.00</td>
</tr>
<tr>
<th colspan="8" align="right">Sub-Total</th>
<td align="right">146.90</td>
</tr>
<tr>
<th colspan="8" align="right">Tax</th>
<td align="right">10.28</td>
</tr>
<tr>
<th colspan="8" align="right">Shipping</th>
<td align="right">15.80</td>
</tr>
<tr>
<th colspan="8" align="center">Total</th>
<th align="right">172.98</th>
</tr>
<tr>
<th colspan="9" align="left" id="hd">Approval</th>
</tr>
<tr>
<th align="right">Person</th>
<td colspan="6">Shafeeque P</td>
<th align="right">Date</th>
<td>9/7/2013</td>
</tr>
</table>
</body>
</html>