POWER GRID CORPORATION OF INDIA LIMITED

MATERIAL INSPECTION CLEARANCE CERTIFICATE (MICC)

1200017264
Nov 6, 2017

Purchase Document : 6900001034 MFG. MICC No. : HBL

Contract Name : Supply PO for Package A under Integrated Power Development Contractor : 2100005040 / KEI INDUSTRIES
Scheme (IPDS) Works in Old Kashi Area of Varanasi town of UP
under deposit work of PuVVNL.
LIMITED / D-90 Okhla Industrial
area phase-1 / Delhi / India

Part I ( Details of Item Inspected)

PO Line Item PO Line Item MICC Accepted MICC Cumm.
Material Material Description UM
Number Qty Qty Qty
24V, 80AH NI-CD BATTERY
780 1000001869 SET 6.000 1.0000 7.000
SET

Part II ( CIP Details)

CIP Number CIP Date Inspection Call ID Manufacturer Issued By
3000000852 / HBL Power
8000023446 Nov 1, 2017 2017100436 I.P. Rao
Systems Ltd / Lalgadi Malak

Part III ( MICC Details)

MICC Remarks Recovery Detail, if Any

NIL NIL

Certificate
Certified that the Material is Inspected / test certificates reviewed and authorized for despatch as per CIP's given above in
partII. All the deviation observed during manufacturing and / or inspection / review have been properly disposed off by the
competent authority. This certificate is issued for on account payment purpose only for billable items as above and as per
Purchase document approved BOM. This however does not absolve the contractor of his contractual responsibilities.

( On Behalf of POWERGRID ) :

Signature :
Name : I.P. Rao
Designation :

Stamp :

Date :

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