Materials Approval Request

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					                                             Request for Approval of Materials
 Part                                     Part
                                                                                                     Supplier
Number                                   Name
 Change                              IMDS                                                            Request
  Level                             Number                                                            Date
Requesting Supplier Information:
 Company:
  Address:
 Phone:                                          FAX:                                     Email



  Drawing Material Callout                                                   TIS Number

Characteristics Under Control




Material Sources Approved




Approval Status:
     Submission is fully approved                                              Approval is denied
     Submission is approved pending completion of items listed on open issues list



       Toyota Boshoku America Approval             Manufacturing Location:                                   Initial Supplier Approval
APPROVED   APPROVED     CHECKED     REVIEWED                                                      APPROVED   APPROVED      CHECKED       PREPARED



                                                   SUPPLIER CODE / DUNS:
ROUTING: Supplier  TBA MED Supplier  Plant QC  TBA Purchasing/Accounting

				
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posted:9/7/2012
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