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FORM PERMINTAAN BARANG

NO. M
TANGGAL: 08 Januari 2013

KEBUTUH PERKIRAAN HARGA


NO NAMA BARANG UNIT STOCK QTY ket VENDOR
AN HARGA TOTAL
Keperluan Poli
1 ABC Kopi Susu (bks) sachet 205 60 145 4 pack Lotte Mart 17,400 69,600

2 Tong Tji Blacktea(bks) sachet 205 0 205 3 box Lotte Mart 21,950 65,850

3 Gulaku gula sachet sachet 205 68 137 1 pack Lotte Mart 34,250 34,250

4 Tropicana Slim (bks) sachet 205 26 179 3 pack Lotte Mart 27,575 82,725

5 Nissin Green BIZ Crack (bks) bks 41 0 41 25 bks Lotte Mart 5,000 125,000

6 NS.Vegetable (bks) bks 41 1 40 25 bks Lotte Mart 4,900 122,500

7 Golia Lemon (bks) bks 21 0 21 15 bks Lotte Mart 4,400 66,000

ALASAN PERMINTAAN BARANG JENIS PEMBELIAN Sub Total Rp 565,925

PROYEK ASET

STOK UMUM

DIMINTA OLEH LOGISTIK ACCOUNTING PEMBELIAN

TANGGAL: 08 Januari 2013 TANGGAL: TANGGAL: TANGGAL:

1.Finance/Acc. 2.Purchasing Dept. 3.Requestor Dept.


TGL STOCK

27/12/2012

9/1/2013

Sekertariat 4/1/2013

Poliklinik 4/1/2013

Jumlah 4/1/2013
NO NAMA BARANG UNIT

1 The Cap Botol Premium bks 4 28


2 ABC Kopi Susu sachet 120 42
3 Indomie Goreng bks 40 13
4 Indomie Kari Ayam bks 40 21
5 Top Kopi sachet 150 60 20 80

6 Tong Tji Blacktea(bks) sachet 200 7 25 32

7 Gulaku Stick Pack Pars sachet 250 6 27 33

8 Tropicana Slim Sweetener sachet 150 82 36 118

9 Nissin Green BIZ Crack (bks) bks 25 5 7 12

10 NS.Vegetable (bks) bks 25 7 2 9 12 9


11 Kapal Api Spc bks 2 1 1

12 Save Gula Pasir kg 4 0

13 Gopek The Premium bks 20 0

14 Golia Active Plus bks 3 0


15 Kino Coklat bks 3 0

16 Golia Lemon bks 3 0

17 Kino Candy bks 3 0

18 Kino smile fruit bks 3 0


19 Save Dishwash Lime Lt 0 0

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