PT.

MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011 UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY : AIR FAST
SHIPPING POINT : NHM
DO.NUMBER/AWB : 63

`
QUANTITY P.O
NO COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 1 EA Radio HT 18414C0113

2 1 EA Radio HT 18414C0114

3 1 EA Radio HT 18414C0115

4 1 EA Radio HT 18414C0116

5 6 EA Safety shoes

6 20 EA Safety glasses

7 1 EA Dis clutch

8 1 EA RealiseBearing

SET

DATE
RECEIVED 08 april 2019 WEIGHT PREPARED ( ) COLECT ( )

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Surya Reza .V THIS REPORT BY : Surya Reza .V

I

UPDATED:00-00-0000

MRR No : 1
Phase2

P.O
REMARKS
INTERNAL
complate

complate

Kurang 11

complate

complate

complate

complate

complate

REPARED ( ) COLECT ( )

Mandiri Site Gosowong

Surya Reza .V
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011 UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY : AIR FAST
SHIPPING POINT : NHM
DO.NUMBER/AWB : 66

`
QUANTITY P.O
NO COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 14 EA safety cone

2 20 LGT pipe SCH40 3/4 6000mm

3 10 KG Welding Electrode RB26 size 3.2mm

4 2 DRUM Air coolant CX Delo Eli CL Premix

5 2 DRUM Oil Engine Rimula R4X 15W/40

6 ６ DRUM Oil Hydraulic Tellus S2MX　６８

7 ３ DRUM Oil Transmission Spirax S4 CX30

8 ２ DRUM Oil Gear Spirax S4CX50

9 １ DRUM Grease Gadus　S2 V220

10 １ DRUM Oil Engine 15W-40

11 １ DRUM Oil Trasmission Gear
12 3 PAIL Oil Hydraulic 68
13 22 EA Element Oil Filter PN15613-JAA10
14 5 EA Element Oil Filter Transmission PN32915-LVA10
15 17 EA Element Oil Filter Differential PN15607-2060L
16 16 EA Element Fuel Filter upper PN23414-LAA10
17 17 EA Element Fuel Filter Lower PN23304-JAC70
18 5 EA Element AirCleaner Out PN17801-JAA10
19 5 EA Element AirCleaner Out PN17801-JAA20
20 12 EA wheel cok ADT
PM KIT ADT All Unit
21 3 EA Flter Cartdrige VOE11448509
22 6 EA Filter Insert VOE11707077
23 5 EA Filter VOE11703980
24 5 EA Filter Catridge VOE11707525
25 5 EA Filter Kit VOE20424148

DATE
RECEIVED 23 april 2019 WEIGHT PREPARED ( ) COLECT ( )
PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Surya Reza .V THIS REPORT BY : Surya Reza .V

MANADO TEKNIK MANDIRI

UPDATED:00-00-0000

ATERIAL RECEIVING REPORT

MRR No : 2
Phase2

P.O
REMARKS
INTERNAL
complate

complate

complate

complate

complate

complate

complate

complate

complate

complate
complate
complate
complate
Kurang 1
kurang 10
complate
complate
complate
complate
complate
complate
complate
complate
complate
complate
Kurang 1

PREPARED ( ) COLECT ( )
Warehouse PT. Manado Teknik Mandiri Site Gosowong

Surya Reza .V
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011 UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : MTM

SHIPPED BY : AIR FAST

SHIPPING POINT : NHM

DO.NUMBER/AWB : 72

QUANTITY P.O
NO COMPLETE DESCRIPTION
RECEIVED CUSTOMER

1 EA Radio HT 18414C0119

2 3 EA Radio HT 18414C0118

3 EA Radio HT 18414C0117

4 20 EA Conector straight 4mm

5 20 EA Conector straight 4mm-6mm

6 20 EA Conector straight 6mm

7 20 EA Conector straight 6mm-8mm

8 20 EA Conector straight 8mm

9 20 EA Conector straight 8mm-10mm

10 20 EA Conector straight 10mm

 11 20 EA Conector straight 10mm-12mm

12 20 EA Conector straight 12mm

13 20 EA Conector straight 14mm

14 10 MTR Hose Angin 4mm 150PSI

15 10 MTR Hose Angin 6mm 150PSI

16 10 MTR Hose Angin 8mm 150PSI

17 10 MTR Hose Angin 10mm 150PSI

18 10 MTR Hose Angin 12mm 150PSI

20 EA Conector Tee 6mm

20 EA Conector Tee 8mm

DATE

RECEIVED 20 Mei 2019 WEIGHT PREPARED ( ) COLECT ( )

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Surya Reza .V THIS REPORT BY : Surya Reza .V

MANADO TEKNIK MANDIRI

UPDATED:00-00-0000

ATERIAL RECEIVING REPORT

MRR No : 3

Phase2

P.O
REMARKS
INTERNAL

kurang 9 unit

complate

complate

complate

complate

complate

complate

complate
 complate

complate

complate

complate

Tidak ada

complate

complate

Tidak ada

complate

complate

PREPARED ( ) COLECT ( )

Warehouse PT. Manado Teknik Mandiri Site Gosowong

Surya Reza .V
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011 UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY : AIR FAST
SHIPPING POINT : NHM
DO.NUMBER/AWB : 73

`
QUANTITY P.O
NO COMPLETE DESCRIPTION
RECEIVED CUSTOMER

PM Kit ADT all unit

1 12 EA Oil Filter Long Life VOE21707133
2 6 EA Oil Filter By pass VOE21407132
3 6 EA Fuel Filter VOE15126069
4 12 EA Primary Filter VOE11110683
5 6 EA Fuel Breather VOE 11707077
6 9 EA Filter Cartridge VOE 11448509
7 30 EA Breather VOE11172907

DATE
RECEIVED 20 Mei 2019 WEIGHT PREPARED ( ) COLECT ( )

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Surya Reza .V THIS REPORT BY : Surya Reza .V

I

UPDATED:00-00-0000

MRR No : 4
Phase2

P.O
REMARKS
INTERNAL

kurang 7
Complete
Complete
Complete
Complete
Complete
Complete

REPARED ( ) COLECT ( )

Mandiri Site Gosowong

Surya Reza .V
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011 UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY : AIR FAST
SHIPPING POINT : NHM
DO.NUMBER/AWB : 74

`
QUANTITY P.O
NO COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 10 M Hose Angin 4mm 150PSI
2 10 M Hose Angin 12mm 150PSI
3 1 EA Priming Pump PN09213-00220
4 1 SET Wrench socket 3/4 merk ELORA
5 1 SET Wrench socket 8 mm- 32 mm Drive 1/2 Elora
6 2 EA Combinasi iler8
7 2 EA Diagonal cutter 8
8 2 EA Loking pier 8"
9 1 SET Screwdriver 3"-8"
10 1 SET Wrench ring pass 8 mm - 32 mm

DATE
RECEIVED 25 Mei 2019 WEIGHT PREPARED ( ) COLECT ( )

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Surya Reza .V THIS REPORT BY : Surya Reza .V

I

UPDATED:00-00-0000

MRR No : 5
Phase2

P.O
REMARKS
INTERNAL
Complete
Complete
Complete
Complete
Complete
Complete
Complete
Complete
Complete
Complete

REPARED ( ) COLECT ( )

Mandiri Site Gosowong

Surya Reza .V
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011 UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY : AIR FAST
SHIPPING POINT : NHM
DO.NUMBER/AWB : 75

`
QUANTITY P.O
NO COMPLETE DESCRIPTION
RECEIVED CUSTOMER
Radio HT Hitera S/E 18412A3833
Radio HT Hitera S/E 18412A3834
Radio HT Hitera S/E 18412A3835
Radio HT Hitera S/E 18412A3836
1 8 UNIT
Radio HT Hitera S/E 18412A3837
Radio HT Hitera S/E 18412A3838
Radio HT Hitera S/E 18412A3839
Radio HT Hitera S/E 18412A3840
2 1 SET TOOL BOX MR 4-B
3 1 EA Kunci Pas ring 36 mm MR 4-B
4 ! EA Kunci Pas ring 41 mm MR 4-B
5 ! EA Kunci Pas ring 46 mm MR 4-B
6 1 EA Preasure Gauge Hydrolic MR 4-B
7 1 EA Preasure Gauge AC MR 4-B
8 1 UNIT Vacum Pump MR 4-B
9 1 EA Digital Multi Meter (samawa) MR 4-B
10 1 EA cap welder MR 4-B
11 1 EA Upron welder MR 4-B
12 1 SET mata bor baja MR 4-B

DATE
RECEIVED 25 Mei 2019 WEIGHT PREPARED ( ) COLECT ( )

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Surya Reza .V THIS REPORT BY : Surya Reza .V

I

UPDATED:00-00-0000

MRR No : 6
Phase2

P.O
REMARKS
INTERNAL
Complete
Complete
Complete
Complete
Complete
Complete
Complete
Complete
Complete
Complete
Complete
Tidak ada barang
Complete
Complete
Tidak ada barang
Complete
Complete
Complete
Complete

REPARED ( ) COLECT ( )

Mandiri Site Gosowong

Surya Reza .V
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011 UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY : AIR FAST
SHIPPING POINT : NHM
DO.NUMBER/AWB : 76

`
QUANTITY P.O
NO COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 1 SET Elecktrik Tool MR 4-B
2 2 ROLL Webbing sling 31 x4 M MR 4-B
3 2 ROLL Cable Extention MR 4-B
4 1 SET Elen Key MR 4-B
5 1 SET Elen Key Plus MR 4-B
6 1 EA Hammer Tembaga 2 kg MR 4-B
7 1 EA Sigmat MR 4-B
8 3 EA senter kepala MR 4-B
9 1 UNIT Grinding Machine 4 " Bosch MR 4-B
10 1 UNIT Hand dril electrik Bosch MR 4-B
11 1 EA Fuller gauge MR 4-B
12 1 EA Solder iron 40W MR 4-B

DATE
RECEIVED 25 Mei 2019 WEIGHT PREPARED ( ) COLECT ( )

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Surya Reza .V THIS REPORT BY : Surya Reza .V

I

UPDATED:00-00-0000

MRR No : 7
Phase2

P.O
REMARKS
INTERNAL
complete
complete
complete
complete
complete
complete
complete
complete
complete
complete
complete
complete

REPARED ( ) COLECT ( )

Mandiri Site Gosowong

Surya Reza .V
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011 UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : INTERANCO PENTA

SHIPPED BY : DHL
SHIPPING POINT : NHM
DO.NUMBER/AWB : 77008767

`
QUANTITY P.O
NO COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 1 EA Repair Kit VEO11708054 MR 11
2 2 EA Flange Screw VEO965225 MR 11
3 2 EA Rocker Arm VEO15160944 MR 11
4 1 EA Sensor VEO20829689 MR 11
5 1 EA Charge Regulator VEO20523391 MR 11
6 1 EA Head Lamp VEO15196672 MR 11
7 1 EA Level Sensor VEO17202021 MR 11
8 1 EA V-Band clamp VEO15113226 MR 11

DATE
RECEIVED 30 Mei 2019 WEIGHT PREPARED ( ) COLECT ( )

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Surya Reza .V THIS REPORT BY Surya Reza .V

 UPDATED:00-00-0000

MRR No : 8
Phase2

P.O
REMARKS
INTERNAL
complete
complete
complete
complete
complete
complete
complete
complete

REPARED ( ) COLECT ( )

Mandiri Site Gosowong

Surya Reza .V
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY : Air Fast
SHIPPING POINT : NHM
DO.NUMBER/AWB : 82

`
QUANTITY P.O
NO PART NUMBER COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 5 Ea VOE11119884 Filter Catridge Hydraulic

2 3 Ea VOE11703980 Filter

3 1 Ea Nomor Lambung Excavator

DATE
RECEIVED 31 Mei 2019 PREPARED ( ) COLECT ( )

PACKING SLIP NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri, Site Gosowong

RECEIVED & CHKD BY : Kanter Saerang THIS REPORT BY :

K MANDIRI

UPDATED:00-00-0000

REPORT

MRR No : 9
Phase : 2

MR
REMARKS
Logistik
MR-07 complete

MR-07 complete

complete

PREPARED ( ) COLECT ( )

Site Gosowong

Kanter Saerang
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : NHM (EPIROC)

SHIPPED BY :
SHIPPING POINT : NHM
DO.NUMBER/AWB :

`
QUANTITY P.O
NO PART NUMBER COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 1 Ea Hose Hydraulic

DATE
RECEIVED 31 Mei 2019 PREPARED ( ) COLECT ( )

PACKING SLIP NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri, Site Gosowong

RECEIVED & CHKD BY : Kanter Saerang THIS REPORT BY :

K MANDIRI

UPDATED:00-00-0000

REPORT

MRR No : 10
Phase : 2

MR
REMARKS
Logistik
MR-18 Press Hose ke NHM (Epiroc)

PREPARED ( ) COLECT ( )

Site Gosowong

Kanter Saerang
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011 UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : Aneka Sarana Jaya

SHIPPED BY : Lionparcel
SHIPPING POINT : NHM
DO.NUMBER/AWB : 73

`
QUANTITY P.O
NO COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 1 EA Angel Transmisi 11702534

2 1 EA Selenoid Valve 11115488 MR 4-A

3 1 EA Sealing Kit 11712388 MR 9
4 1 EA Dumping Cylinder 11119171 MR 9

DATE
RECEIVED 1 Juni 2019 WEIGHT PREPARED ( ) COLECT ( )

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Surya Reza .V THIS REPORT BY : Surya Reza .V

I

UPDATED:00-00-0000

MRR No : 11
Phase2

P.O
REMARKS
INTERNAL
complete
complete
complete
complete

REPARED ( ) COLECT ( )

Mandiri Site Gosowong

Surya Reza .V
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011 UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : INTERANCO PENTA

SHIPPED BY : DHL
SHIPPING POINT : NHM
DO.NUMBER/AWB : 74

`
QUANTITY P.O
NO COMPLETE DESCRIPTION
RECEIVED CUSTOMER

1 1 EA Control Unit VEO117025VEO11702534 MR 6

2 6 EA Helmet safety white Mr 12

DATE
RECEIVED 1 Juni 2019 WEIGHT PREPARED ( ) COLECT ( )

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Surya Reza .V THIS REPORT Surya Reza .V

RI

UPDATED:00-00-0000

MRR No : 12
Phase2

P.O
REMARKS
INTERNAL

complete
complete

REPARED ( ) COLECT ( )

) OS & D NO.

k Mandiri Site Gosowong

Surya Reza .V
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY : Air Fast
SHIPPING POINT : NHM
DO.NUMBER/AWB : 80

QUANTITY
NO PART NUMBER COMPLETE DESCRIPTION
RECEIVED
1 6 EA Safety Shoes Kings KWD 805 Cx No.9

2 1 EA Selenoid Fuel
3 62 EA Name Tag Bordir
4 2 EA Safety Glasess Black

DATE
RECEIVED 4 Juni 2019 WEIGHT

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowo

RECEIVED & CHKD BY : Kanter Saerang THIS REPORT BY :

K MANDIRI

UPDATE:0 UPDATED:00-00-0000

G REPORT

MRR No : 13
Phase : 2

`
P.O MR
REMARKS
CUSTOMER Logistik
MR-12 complete
tahap 1
MR-15 complete
MR-12 Black 1 (ea) dan white 1 (ea)

PREPARED ( ) COLECT ( )

COMPLETE ( ) OS & D NO.

PT. Manado Teknik Mandiri Site Gosowong

Kanter Saerang
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011

MATERIAL RECEIVING REPORT

SUPLIER :
SHIPPED BY : Air Fast
SHIPPING POINT : NHM
DO.NUMBER/AWB :

QUANTITY
NO PART NUMBER COMPLETE DESCRIPTION
RECEIVED
1 10 Set Ban luar c/w. lidah ban dan ban dalam
merk: trucker, type: 1100/20ply

DATE
RECEIVED 5 Juni 2019 WEIGHT

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosow

RECEIVED & CHKD BY : Kanter Saerang THIS REPORT BY :

ANDIRI

UPDATE:0 UPDATED:00-00-0000

PORT

MRR No : 14
Phase : 2

`
P.O MR
REMARKS
CUSTOMER Logistik
Tahap I

PREPARED ( ) COLECT ( )

COMPLETE ( ) OS & D NO.

PT. Manado Teknik Mandiri Site Gosowong

Kanter Saerang
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER :
SHIPPED BY : Aif Fast
SHIPPING POINT : NHM
DO.NUMBER/AWB : 83

`
QUANTITY P.O
NO PART NUMBER COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 4 Ea VOE17418273 V-Belt

2 1 Ea VOE17418275 V-Belt
3 4 Ea VOE17418272 V-Belt

4 4 Ea VOE15086097 Wide View Miror

5 2 Ea VOE15099010 Rear View Miror

6 2 Ea VOE11712840 Valve Kit

7 2 Ea VOE11119680 Gas Spring

8 1 Ea VOE16929651 Gas Spring

9 3 Ea VOE15194637 Idler Pulley

10 1 Ea VOE11115488 Solenoid Valve

11 2 Ea VOE21399626 Sensor

12 1 Ea VOE952004 Spring Pin

13 3 Ea VOE21255974 Relay

14 11 Ea VOE20374662 Relay

15 1 Ea VOE15095361 Tensioning Band

16 3 Ea VOE17410281 Filter Kit

17 2 Ea VOE11114940 Lock Bolt

DATE
RECEIVED 05 Juni 2019 PREPARED ( ) COLECT ( )

PACKING SLIP NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri, Site Gosowong

RECEIVED & CHKD BY : Kanter Saerang THIS REPORT BY :

NDIRI

UPDATED:00-00-0000

ORT

MRR No : 15
Phase : 2

MR
REMARKS
Logistik
complete
complete
MR-16 complete

MR-03 complete

MR-03 complete

MR-03 complete

MR-13 complete

complete

complete

MR-03 complete

complete

MR-17 complete

MR-17 complete

MR-17 complete

MR-11 complete

complete
MR-17 complete

PREPARED ( ) COLECT ( )
Site Gosowong

Kanter Saerang
 PT. MANADO TEKNIK MANDIRI
FORMULIR FM-011 ed.A rev.0 ISSUE: A UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : NHM
SHIPPED BY :
SHIPPING POINT : NHM
DO.NUMBER/AWB : 82

`
QUANTITY P.O
NO PART NUMBER COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 5 Ea VOE11119884 Filter catridge

2 3 Ea VOE11703980 Filter

3 1 Ea Nomor lambung

DATE
RECEIVED 09 Juni 2019 PREPARED ( ) COLECT ( )

PACKING SLIP NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri, Site Gosowong

RECEIVED & CHKD BY : Kanter Saerang THIS REPORT BY :

MANDIRI
UPDATED:00-00-0000

EPORT

MRR No : 16
Phase : 2

MR
REMARKS
Logistik
MR-22 complete

complete

MR-22 complete

PREPARED ( ) COLECT ( )

Site Gosowong

Kanter Saerang
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : NHM
SHIPPED BY :
SHIPPING POINT : NHM
DO.NUMBER/AWB : 4901901555

`
QUANTITY P.O
NO PART NUMBER COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 1 Ea 3X4 Terpal

DATE
RECEIVED 09 Juni 2019 PREPARED ( ) COLECT ( )

PACKING SLIP NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri, Site Gosowong

RECEIVED & CHKD BY : Kanter Saerang THIS REPORT BY :

K MANDIRI

UPDATED:00-00-0000

REPORT

MRR No : 17
Phase : 2

MR
REMARKS
Logistik
MR-25 complete

PREPARED ( ) COLECT ( )

Site Gosowong

Kanter Saerang
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : NHM
SHIPPED BY :
SHIPPING POINT : NHM
DO.NUMBER/AWB : ambil dr workshop NHM

`
QUANTITY P.O
NO PART NUMBER COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 5 Kg 3.2MM RB2.6 Electrode WLD,

2 5 Kg 2.6MM LB2.6 Electrode WLD,

3 1 Ea Contack Cleaner

DATE
RECEIVED 10 Juni 2019 PREPARED ( ) COLECT ( )

PACKING SLIP NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri, Site Gosowong

RECEIVED & CHKD BY : Kanter Saerang THIS REPORT BY :

K MANDIRI

UPDATED:00-00-0000

REPORT

MRR No : 18
Phase : 2

MR
REMARKS
Logistik
MR-16 Diambil dari NHM

MR-16 Diambil dari NHM

Diambil dari NHM

PREPARED ( ) COLECT ( )

Site Gosowong

Kanter Saerang
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY : Air Fast
SHIPPING POINT : NHM
DO.NUMBER/AWB : 2140108053

`
QUANTITY P.O
NO PART NUMBER COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 1 Ea Pump Grease

DATE
RECEIVED 11 Juni 2019 PREPARED ( ) COLECT ( )

PACKING SLIP NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri, Site Gosowong

RECEIVED & CHKD BY : Kanter Saerang THIS REPORT BY :

K MANDIRI

UPDATED:00-00-0000

REPORT

MRR No : 19
Phase : 2

MR
REMARKS
Logistik
MR-02 complate

PREPARED ( ) COLECT ( )

Site Gosowong

Kanter Saerang
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY :
SHIPPING POINT : NHM
DO.NUMBER/AWB : 2140107633

`
QUANTITY P.O
NO PART NUMBER COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 2 Tube R134A Refrigerator

2 1 Box Tools Box Excavator 330

3 2 Roll Tools Box

4 1 Set Vacum Pump

5 1 Ea Emergency Stop

6 1 Ea Lampu Rotary

7 1 unit Excavator 330

8 1 Lot Handril Excavator 330 CAT

9 2 ea Ban luar Compector

DATE
RECEIVED 11 Juni 2019 PREPARED ( ) COLECT ( )

PACKING SLIP NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri, Site Gosowong

RECEIVED & CHKD BY : Kanter Saerang THIS REPORT BY :

K MANDIRI

UPDATED:00-00-0000

REPORT

MRR No : 20
Phase : 2

MR
REMARKS
Logistik
complate

complate

MR--04 complate

MR--04 complate

complate

MR-13 complate

complate

complate
complate

PREPARED ( ) COLECT ( )

Site Gosowong

Kanter Saerang
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : NHM
SHIPPED BY :
SHIPPING POINT : NHM
DO.NUMBER/AWB : 1901433774

`
QUANTITY P.O
NO PART NUMBER COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 3 Roll No: 33 Black Scotch

2 2 Roll No: 35 Red Scotch

3 5 Ea WD-40

4 10 Ea Contact Cleaner

DATE
RECEIVED 13 Juni 2019 PREPARED ( ) COLECT ( )

PACKING SLIP NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri, Site Gosowong

RECEIVED & CHKD BY : Kanter Saerang THIS REPORT BY :

K MANDIRI

UPDATED:00-00-0000

REPORT

MRR No : 21
Phase : 2

MR
REMARKS
Logistik
MR-31 Diambil ke NHM

MR-31 Diambil ke NHM

MR-31 Diambil ke NHM

MR-31 Diambil ke NHM

PREPARED ( ) COLECT ( )

Site Gosowong

Kanter Saerang
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : 2
SHIPPED BY :
SHIPPING POINT : NHM
DO.NUMBER/AWB : 1901432741

`
QUANTITY P.O
NO PART NUMBER COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 1 Ea Acetylene

DATE
RECEIVED 14 Juni 2019 PREPARED ( ) COLECT ( )

PACKING SLIP NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri, Site Gosowong

RECEIVED & CHKD BY : Kanter Saerang THIS REPORT BY :

K MANDIRI

UPDATED:00-00-0000

REPORT

MRR No : 22
Phase : 2

MR
REMARKS
Logistik
MR-32 Diambil ke NHM

PREPARED ( ) COLECT ( )

Site Gosowong

Kanter Saerang
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011 UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY : AIR FAST
SHIPPING POINT : NHM
DO.NUMBER/AWB : 85

`
QUANTITY P.O
NO COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 7 tube Lampu Rotary MR-13
2 5 box Flter Long Life VOE21707133 MR-10
3 1 roll Filter Catridge VOE20424148 MR-10
4 1 set Dynamo starter LT Phase 1
5 5 ea Fuel Filter PNC14000 Phase 1
6 5 ea Oil Filter PNC16000 Phase 1

DATE
RECEIVED 14 JUNI 2019 WEIGHT PREPARED ( ) COLECT ( )

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Kanter THIS REPORT BY : Kanter

I

UPDATED:00-00-0000

MRR No : 23
Phase2

P.O
REMARKS
INTERNAL
complete 22
complete
complete

REPARED ( ) COLECT ( )

Mandiri Site Gosowong

Kanter
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY : Air Fast
SHIPPING POINT : NHM
DO.NUMBER/AWB : 86

`
QUANTITY P.O
NO PART NUMBER COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 1 250LBFT Torque Wrench

2 2 127221971 Expansion Tank

DATE
RECEIVED 15 Juni 2019 PREPARED ( ) COLECT ( )

PACKING SLIP NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri, Site Gosowong

RECEIVED & CHKD BY : Kanter Saerang THIS REPORT BY :

K MANDIRI

UPDATED:00-00-0000

REPORT

MRR No : 24
Phase : 2

MR
REMARKS
Logistik
MR-04 complete

MR-23 complete

PREPARED ( ) COLECT ( )

Site Gosowong

Kanter Saerang
 PT. MANADO TEKNIK MANDIRI
FORMULIR FM-011 ed.A rev.0 ISSUE: A UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY : Air Fast
SHIPPING POINT : NHM
DO.NUMBER/AWB : 87

`
QUANTITY P.O
NO PART NUMBER COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 1 ea 127221971 Expansion Tank

2 1 ea 5615078 coupling hub

DATE
RECEIVED 18 Juni 2019 PREPARED ( ) COLECT ( )

PACKING SLIP NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri, Site Gosowong

RECEIVED & CHKD BY : Kanter Saerang THIS REPORT BY :

K MANDIRI
UPDATED:00-00-0000

REPORT

MRR No : 25
Phase : 2

MR
REMARKS
Logistik
complete

Phase 1

PREPARED ( ) COLECT ( )

Site Gosowong

Kanter Saerang
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011 UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY : AIR FAST
SHIPPING POINT : NHM
DO.NUMBER/AWB : 88

`
QUANTITY P.O
NO COMPLETE DESCRIPTION
RECEIVED CUSTOMER
1 4 switch Diflok VOE70377101 MR-27
2 4 Rocker Arm VOE15160944 MR-27
3 4 Switch arm lampu depan VOE70368702 MR-27
4 4 rocker arm lampu depan VOE11428009 MR-27
5 4 Switch lampu Hazard VOE15052460 MR-27
6 4 Rocker arm lampu Hazard VOE70377112 MR-27
7 1 Air compresor VOE22040500
8 2 Coil VOE12743391
9 1 Selenoid VOE15197585
10 1 Selenoid VOE15197584
11 4 O-ring VOE977025 MR-30
12 4 Acumulator VOE15159234 MR-30

DATE
RECEIVED 14 JUNI 2019 WEIGHT PREPARED ( ) COLECT ( )

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Kanter THIS REPORT BY : Kanter

 UPDATED:00-00-0000

MRR No : 26
Phase2

P.O
REMARKS
INTERNAL
complete
complete
complete
complete
complete
complete
complete
complete
complete
complete
complete
complete

REPARED ( ) COLECT ( )

Mandiri Site Gosowong

Kanter
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011 UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY : AIR FAST
SHIPPING POINT : NHM
DO.NUMBER/AWB : 200099

`
QUANTITY P.O
NO COMPLETE DESCRIPTION
RECEIVED CUSTOMER

1 6 Pet Look MR-34

2 50 Danger Tag MR-34
3 50 Service Tag MR-34

DATE
RECEIVED 23 JUNI 2019 WEIGHT PREPARED ( ) COLECT ( )

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Kanter THIS REPORT BY : Kanter

DIRI

UPDATED:00-00-0000

MRR No : 27
Phase2

P.O
REMARKS
INTERNAL

werehouse NHM complete

werehouse NHM complete
werehouse NHM complete

REPARED ( ) COLECT ( )

eknik Mandiri Site Gosowong

Kanter
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011 UPDATE:0

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY : AIR FAST
SHIPPING POINT : NHM
DO.NUMBER/AWB : 89

`
QUANTITY P.O
NO COMPLETE DESCRIPTION
RECEIVED CUSTOMER

1 7 ea Safety shoes king Kwd 805 MR-33

2 10 ea Safety glasses black MR-33
3 5 ea Safety Helmet MR-33
4 Hand tab thread M14x2.0 MR-37
5 Hand tab thread M16x2.0 MR-37
6 Hand tab thread M18x2.0 MR-37
7 Hand tab thread M20x2.0 MR-37
8 Bolt M10x160mm MR-37
9 Bolt M12x200mm MR-37
10 Bolt M14x160mm]
11 spring PN.091041

DATE
RECEIVED 09 juli 2019 WEIGHT PREPARED ( ) COLECT ( )

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Surya reza THIS REPORT BY : SuryaReza

DIRI

UPDATED:00-00-0000

MRR No : 28
Phase2

P.O
REMARKS
INTERNAL

complete
complete
complete
complete
complete
complete
complete
complete
complete
complete
phase 1 complete

REPARED ( ) COLECT ( )

eknik Mandiri Site Gosowong

SuryaReza
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY : AIR FAST
SHIPPING POINT : NHM
DO.NUMBER/AWB : 91

QUANTITY
NO COMPLETE DESCRIPTION
RECEIVED

1 6 pcs Uniform Long sleeve size L "orange"

2 7 pcs Uniform Long sleeve size XL "orange"
3 1 ea Fashdish 8 GB ( part book manual ADT A40F) kanter pegang
4 1 ea Tool ADT
5 7 pcs Name tage A.N
6 Nicholas Lopa 2 ea
7 Melkior Meleko 2 ea
8 Fiktoria imanuel 2 ea
9 Riandi hamsah 2 ea
10 Yobel viktor Dumais 2 a
11 Fredic maramis 2 ea
12 karel Adri 2 ea
13 Oil AC Compresor
14 1 set penutup Thank DT Hyno
15 2 ea U-Bolt untk fuel truk

DATE
RECEIVED 12 juli 2019 WEIGHT

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Surya reza THIS REPORT BY :

IK MANDIRI

UPDATE:0 UPDATED:00-00-0000

NG REPORT

MRR No : 29
Phase2

`
P.O P.O
REMARKS
CUSTOMER INTERNAL

complete
complete
complete
complete
complete
complete
complete
complete
complete
complete
complete
complete
complete
complete
Phase 1 complete

PREPARED ( ) COLECT ( )

TE ( ) OS & D NO.

e PT. Manado Teknik Mandiri Site Gosowong

SuryaReza
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011

MATERIAL RECEIVING REPORT

SUPLIER : MTM
SHIPPED BY : AIR FAST
SHIPPING POINT : NHM
DO.NUMBER/AWB : ASJ

QUANTITY
NO COMPLETE DESCRIPTION
RECEIVED

1 5 ea Filter Hydraulic FH 7103

2 6 ea Filter Oli Bypass LF 3654
3 3 ea Air Filter iner FR 6491
4 2 ea Air filter Outer
5 5 ea Air filter condition FA 3979
6 1 ea Filter Ling Life JOC 88024
7 1 ea Filter Fuel BF 7814

DATE
RECEIVED 16 juli 2019 WEIGHT

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Surya reza THIS REPORT BY :

IK MANDIRI

UPDATE:0 UPDATED:00-00-0000

NG REPORT

MRR No : 30
Phase2

`
P.O P.O
REMARKS
CUSTOMER INTERNAL

PREPARED ( ) COLECT ( )

TE ( ) OS & D NO.

e PT. Manado Teknik Mandiri Site Gosowong

SuryaReza
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011

MATERIAL RECEIVING REPORT

SUPLIER : ASJ
SHIPPED BY : AIR FAST
SHIPPING POINT : NHM
DO.NUMBER/AWB : 78

QUANTITY
NO COMPLETE DESCRIPTION
RECEIVED

1 6 ea Sleeve Injektor PN 21351717

2 1 ea Tool kit
3 1 ea Kompresor PN 1582727
4 1 ea Seal Kit PN 20799996
5 1 ea Seal Kit PN 20818346

DATE
RECEIVED 18 juli 2019 WEIGHT

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Surya reza THIS REPORT BY :

IK MANDIRI

UPDATE:0 UPDATED:00-00-0000

NG REPORT

MRR No : 31
Phase2

`
P.O P.O
REMARKS
CUSTOMER INTERNAL

MR-40 complete
MR-40 complete
MR-39 complete
MR-40 complete
MR-40 complete

PREPARED ( ) COLECT ( )

TE ( ) OS & D NO.

e PT. Manado Teknik Mandiri Site Gosowong

SuryaReza
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011

MATERIAL RECEIVING REPORT

SUPLIER : ASJ
SHIPPED BY : AIR FAST
SHIPPING POINT : NHM
DO.NUMBER/AWB : 79

QUANTITY
NO COMPLETE DESCRIPTION
RECEIVED

1 10 ea Uniform atasan L Orange

2 7 ea King shoe brown size 7
3 10 ea safety glass Black
4 7 ea Helmet white

DATE
RECEIVED 18 juli 2019 WEIGHT

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Surya reza THIS REPORT BY :

IK MANDIRI

UPDATE:0 UPDATED:00-00-0000

NG REPORT

MRR No : 32
Phase2

`
P.O P.O
REMARKS
CUSTOMER INTERNAL

MR-42 complete
MR-42 complete
MR-43 complete
MR-43 complete

PREPARED ( ) COLECT ( )

TE ( ) OS & D NO.

e PT. Manado Teknik Mandiri Site Gosowong

SuryaReza
 PT. MANADO TEKNIK MANDIRI

FORMULIR FM-011 ed.A rev.0 ISSUE: A ISSUED:06-04-2011

MATERIAL RECEIVING REPORT

SUPLIER : ASJ
SHIPPED BY : AIR FAST
SHIPPING POINT : NHM
DO.NUMBER/AWB :

QUANTITY
NO COMPLETE DESCRIPTION
RECEIVED

1 1 ea Valve kit PN 11712840

2 1 ea Horn PN 21857295
3 1 ea Pressure Sensor PN 15060190
4 1 ea Pressure Sensor PN 215400602
5 2 ea Handle PN 11712837
6 1 ea Gas Spring PN 16845846
7 10 ea Whell Stud PN 111022584
8 108 ea Luck Nut PN 947972
9 108 ea Nut cup PN 111100354
10 1 ea Sealing Kit PN 11712388
11 4 ea Receiver Airdriyer PN 111164457
12 1 ea Kompresor PN 15082727

DATE
RECEIVED 18 juli 2019 WEIGHT

PACKING SLIP NO. PARTIAL ( ) COMPLETE ( ) OS & D NO.

DELIVERED TO LOCATION Warehouse PT. Manado Teknik Mandiri Site Gosowong

RECEIVED & CHKD BY : Surya reza THIS REPORT BY :

IK MANDIRI

UPDATE:0 UPDATED:00-00-0000

NG REPORT

MRR No : 33
Phase2

`
P.O P.O
REMARKS
CUSTOMER INTERNAL

complete
complete
complete
complete
complete
MR-11 complete
MR-09 complete
MR-09 complete
MR-09 complete
complete
MR-24 complete
MR-39 complete

PREPARED ( ) COLECT ( )

TE ( ) OS & D NO.

e PT. Manado Teknik Mandiri Site Gosowong

SuryaReza