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PT. National Andalan Services (NAS) Form No.

: F-01/FA/14/Rev-0
Your partner in Calibration, Lab. Testing and Quality Consulting

PURCHASE REQUEST (PR) FORM

No : 479/PR/DeptCAL/16
Date : 29 Juni 2016
Dept./Lab. : Kalibrasi
Budget Code No. : 16
Supplier (if any) :

No. Item Description/Specipication Quantity Capex /


Disposable
1 Transport ke PPMB ambil alat selesai kalibrasi milik PT NAS 1
(PIC:APM&MRT)

Note:

Requested by Approved by
Dept/Lab. Head FA Head BOD

(……………………...) (…………...…………) (……...………………) (……………………) (……………………)

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