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R0302_1

Reissue

DELIVERY REQUEST
Date:

Supplier:
4079
Supplier name: PUTRANATA ADI MANDIRI

AISAN NASMOCO INDUSTRI


Receiving Code: GT1-1

ADR: JL. Kartini VII No.9 Sawah Besar


TEL:

ADR: EJIP PLOT 9L

Jakarta Pusat
021-6007 850

TEL: 021-8971574
CIKARANG SELATAN BEKASI
FAX: 17550
021-8971578

FAX: 021-6007 846

DELIVERY DATE:
DELIVERY TIME:
DELIVERY CYCLE:

ORDER NO:
No

12.Jan.15 (01)
10:30
5-01-01

SS037193

Part No

0001 6261-06420

Kanban Receive

Supplier Sign

29/12/2014

Part name
UNION

Q.TY
/KBN

50

KBN
Q.TY

TOTAL
Q.TY *SS037193*

Actual QTY

150

Part Receive
ANI Sign

Supplier Sign

Page:

ANI Sign

001 / 001

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