You are on page 1of 2

UPT SMK NEGERI 1 GEMPOL NO. DOK.

: UPBDA-05-10
USUL PERMINTAAN BAHAN DAN ALAT
NO. REV. : 02
 TGL. REV.
REV. : 15-07-2013
Re*),e!(a" Ka.K)," /
 Ta!''a
 Ta!''a Pe!'++
Pe!'++ U!"# Ke$%a
Ke$%a
K))$(. NA
□  TK
□  TPM
  .. □  TPT   .
NIP. . NIP.
NIP. ..


.

□ Permintaan Bahan □
Permintaan Alat
N). Na,a Ba$a!' Spe"*a" Pe$*"$aa! B"aa
Sling !"#$%%%
Klem Sling $&%%%%
Lampu menara 6 “ ''$%%%

Ttal #%%%%%%
PERSETU(UAN
Kepaa SMKN 1 Ge,p) Ka.TU Be!(a4a$a &a*aa$p$a

H. MAKHMUD S.P( MM SULIKHAH S.P( NAHRO&I S.P(


Pe,"!a NIP.
NIP. 1650930 16902 2 NIP.
NIP. 16570308 169103 1
NIP.
NIP. 
NIP. 160830 166512 1 008 012
002

)ATATAN PELAKSANAAN
Lap)$a! Pea*a!aa! Ha" Pea*a!aa!
 □ Diterima □ Ditla* 
 &a*ae* Sa$a!a P$aa$a!a



 NAHRO&I S.P(
 NIP. 16570308 169103 1 012



USUL PERMINTAAN BAHAN DAN ALAT

Kepaa U!"# Ke$%a &KSP Pe!'e!(a" D)*+,e! Ge,p) .............................

  Halaman
1/1
NO. DOK. : UPBDA-05-10
UPT SMK NEGERI 1 GEMPOL : 02
NO. REV.
USUL PERMINTAAN BAHAN DAN ALAT
 TGL. REV. : 15-07-2013

NAHRO&I S.P( ATUR PRATI&I NURALITA


NIP. 16570308 169103 1 S.P(
012

  Halaman
1/2

You might also like