ICON · Procurement

Purchase Requisition

REQ-20261015-001

Pending approval

Requested items 1

#	Item	Qty	Unit price	Amount
1	Extreme-Vibration-Resistant Wedge Lock Washer, 316 Stainless Steel, for 1/2" Screw Size, 0.530" ID, 1.000" OD 50-04363 · 91812A433 · 40 on hand	3 EA	—	—
Estimated total (some items have no price)				—

Needed by

Oct 16, 2026

Delivery location

Factory HQ

Reason / project

REF#1234567

Requested by

Adam Reue

Submitted

Oct 15, 2026 7:18 PM

Assigned approver

Adam

Approver name

Date

Signature

Sign here with your mouse or finger

Draw inside the box ·

Comments (required to reject)